News You Can Use: You're Saved From 26.5 Percent Physician Pay Cut

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This news article is for physicians, surgeons, coders, and billing professionals who follow Medicare reimbursement policy. It covers the 2013 freeze in the Medicare Physician Fee Schedule, the temporary deferral of sequestration cuts, and the continuing effect of revised RVUs on CPT-based payment calculations. The discussion also notes related guidance from professional organizations and the need to verify updated payer and encoder information.

Why This Topic Matters

It helps readers understand why Medicare payment rates changed for 2013 even though a large scheduled cut was averted, and why code-level reimbursement could still differ because of RVU revisions.

What You Will Learn

  • How a temporary Medicare payment fix affected physician reimbursement for 2013.
  • Why payment amounts could still change even when the conversion factor is held steady.
  • How RVU updates interact with CPT-based fee schedule calculations.
  • What types of payer and encoder updates readers were advised to verify.

Who Should Read This

  • Physicians
  • General surgeons
  • Medical coders
  • Billing staff
  • Revenue cycle professionals
  • Practice managers

Codes Discussed


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