tci Medicare Compliance & Reimbursement - 2011 Issue 24
Looking Ahead: What You Can Expect in 2013
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Article Overview
This piece summarizes forward-looking coding and payment topics that were being discussed for 2013 and beyond. It is relevant to coders, compliance staff, practice managers, and physicians who track CPT updates, CMS payment policy, and ICD-10 implementation planning. The article covers broad areas of potential code revision, emerging payment treatment for molecular pathology, the status of ICD-10, and a future CMS payment adjustment tied to performance.
Why This Topic Matters
It helps readers understand which major coding and reimbursement changes were on the horizon and why planning mattered for medical practices preparing for upcoming federal and editorial changes.
Article Sections
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CPT editorial priorities for 2013
Discusses the CPT Editorial Committee’s planned areas of focus for future code review and revision. The section highlights the broad service categories being watched for possible updates.
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Molecular pathology payment developments
Summarizes CMS comments about payment activity related to molecular pathology services. It explains the general direction of agency consideration for these services in the upcoming year.
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ICD-10 implementation timing and AMA response
Covers the expected start date for ICD-10 and the response from the AMA and CMS. The section addresses the broader implementation status and organizational positions on the transition.
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Beyond 2013: CMS value-based modifier
Introduces a future CMS payment policy tied to performance measurement and differential payment. The section describes the general timeframe and purpose of the policy change.
What You Will Learn
- Which broad coding areas were expected to receive CPT attention
- How CMS was approaching payment for molecular pathology services
- What the article says about ICD-10 implementation timing and related organizational reactions
- What a future CMS value-based payment adjustment was intended to address
Who Should Read This
- Medical coders
- Coding managers
- Compliance professionals
- Physician practices
- Revenue cycle teams
- Health policy readers
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