tci Medicare Compliance & Reimbursement - 2010 Issue 15
Medicare Payment: CMS Reps Outline Impact of PPACA on 2011 Fee Schedule
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Article Overview
This article reviews CMS discussion of the proposed 2011 Medicare fee schedule and related policy updates affecting practices. It focuses on preventive service cost-sharing changes under PPACA, new and updated PECOS enrollment resources for ordering and referring providers, and a CMS effort to gather information for outpatient therapy policy analysis. The piece is relevant to Medicare billers, compliance staff, practice managers, and therapy providers who monitor federal payment and enrollment developments.
Why This Topic Matters
The article helps readers track Medicare payment and administrative changes that may affect practice operations, enrollment data accuracy, and participation in CMS studies. It is especially useful for organizations that follow annual fee schedule rulemaking and Medicare provider file updates.
Article Sections
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Proposed 2011 Fee Schedule and PPACA-related updates
Overview of the proposed Medicare fee schedule and the federal policy context discussed by CMS. Covers broad payment and preventive service update themes tied to the annual rulemaking process.
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CMS Adds New PECOS Files
Discussion of updated Medicare enrollment and ordering/referring resources available through PECOS-related online reports. Also notes related outreach to physicians and other practitioners regarding enrollment information.
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CMS Seeking Outpatient Therapy Study Participants
Summary of CMS interest in gathering data from outpatient therapy providers for a study on therapy service policy. Identifies the provider types and the general data collection effort described by CMS.
What You Will Learn
- What CMS highlighted about the proposed 2011 Medicare fee schedule
- How PPACA-related preventive service changes were being discussed in the Medicare context
- What new PECOS-related enrollment files were added and why they matter to provider lookups
- What CMS was seeking from outpatient therapy providers for its study initiative
Who Should Read This
- Medicare billers
- Coding professionals
- Practice managers
- Compliance staff
- Primary care practices
- Therapy providers
- Healthcare administrators
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