tci Medicare Compliance & Reimbursement - 2009 Issue 14
FEE SCHEDULE: CMS Proposes Nixing Consult Code Payments
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Article Overview
This premium article reviews a CMS proposal in the Medicare Physician Fee Schedule that would change how certain physician and hospital evaluation and management services are paid, with particular attention to consult-related reimbursement and the broader rate environment for 2010. It is relevant for coders, billers, physicians, consultants, and reimbursement professionals who track Medicare payment policy, proposed fee schedule updates, and their potential impact on office and hospital E/M reporting.
Why This Topic Matters
The topic affects how Medicare payment policy may reshape physician reimbursement and service coding patterns, especially for specialists and organizations monitoring proposed fee schedule changes. Readers can use it to assess whether the article is relevant to Medicare E/M coding, consult services, and fee schedule planning.
What You Will Learn
- The general policy changes CMS proposed in the Medicare Physician Fee Schedule
- How consult-related reimbursement is being discussed in relation to office and hospital E/M services
- Why the proposed fee schedule matters for physician payment planning and specialty practices
- The broader context of potential Medicare payment reductions and possible policy responses
Who Should Read This
- Medical coders
- Billing professionals
- Physicians
- Practice managers
- Reimbursement consultants
- Healthcare administrators
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