Medicare Compliance & Reimbursement - 2008 Issue 45
PART B FEE SCHEDULE: Location, Practice Mix Will Define Fee Schedule's Effect on You
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Article Overview
This article reviews a 2009 Medicare Physician Fee Schedule update and discusses why its impact varies by practice type and region. It focuses on broad reimbursement changes, work RVU shifts across service categories, and the role of geographic payment adjustments in producing winners and losers across markets. The piece is aimed at physicians, practice managers, and coding/reimbursement professionals who want to understand how fee schedule updates can influence practice economics.
Why This Topic Matters
Fee schedule updates do not affect all practices equally, and this article highlights the importance of evaluating both service mix and geographic payment factors when estimating revenue impact.
What You Will Learn
- How a Medicare physician fee schedule update can affect reimbursement differently by specialty mix
- Why geographic payment adjustments can change practice-level results
- Which types of markets may see larger increases or decreases
- How broad fee schedule changes are discussed in relation to practice economics
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Billing staff
- Revenue cycle professionals
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