tci General Surgery Coding Alert - 2015 Issue 12

Medicare Physician Fee Schedule: Get These Updates to Global Surgical Package and Incident-To Billing

Fees and compliance issues lead surgeons’ concerns. First, the good news — baseline Medicare payments will increase by 0.5 percent in 2016. For the first time in years, your surgery practice isn’t facing an end-of-the-year panic about possible double-digit payment reductions due to the Sustainable Growth Rate (SGR) formula. The change is thanks to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which repealed the SGR and scheduled five, consecutive 0.5 percent increases through Jan. 1, 2019. That’s not all: The Medicare Physician Fee Schedule (MPFS) impacts your potential pay in other ways...

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