Medicare Compliance & Reimbursement - 2005 Issue 31
MEETINGS: Don't Let Drug Bidders Drive Down Our Prices, Physicians Say
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Article Overview
This meeting report summarizes comments from the Practicing Physicians Advisory Council to CMS on several Medicare payment and administration issues. It is relevant to physicians, practice managers, and coding/billing professionals who follow Part B drug payment policy, physician fee schedule updates, access-to-care concerns, claims processing, and quality-reporting costs. The article covers general guidance and concerns raised about a proposed acquisition program, practice expense methodology, access monitoring, and related operational burdens.
Why This Topic Matters
The piece highlights areas where Medicare payment and administrative policy changes could affect physician reimbursement, access to care, and practice operations. It is useful for readers tracking CMS proposals and physician advocacy positions on reimbursement methodology and compliance workload.
Article Sections
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Watch out for access problems after Medicare cuts, PPAC warns
Discusses physician concerns about a Medicare drug acquisition program, payment methodology, administrative burden, billing timeframes, and access implications.
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Delay New PE-RVU Formula, PPAC Says
Covers concerns about the proposed practice expense RVU methodology, monitoring of patient access, claims resubmission processes, continuing medical education issues, data collection costs, and a cardiac care initiative.
What You Will Learn
- The Medicare payment and access issues raised in a physician advisory meeting
- The broad policy areas affected by proposed changes to drug payment and practice expense methodology
- Why physician groups were concerned about administrative workload and access monitoring
- How data collection and quality initiatives were discussed in relation to Medicare payment policy
Who Should Read This
- Physicians
- Medical practice administrators
- Medical coders and billers
- Healthcare compliance staff
- Revenue cycle professionals
- Health policy analysts
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