tci Medicare Compliance & Reimbursement - 2015 Issue 23
Physician Fee Schedule: Collect for Discussing End-of-Life Options
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Article Overview
This article summarizes 2016 Medicare Physician Fee Schedule updates issued by CMS, with emphasis on newly payable advance care planning services, overall conversion factor changes, and specialty-specific reimbursement impacts. It is relevant to physicians, coders, and billing staff who need a high-level view of which service categories and specialties were affected by the final rule.
Why This Topic Matters
The article highlights payment and reporting changes that affect Medicare reimbursement planning across multiple specialties. It helps coding and billing teams understand where CMS changed payment policy for advance care planning, evaluation and management-related services, gastroenterology, and pathology.
Article Sections
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Advance care planning payment under the 2016 Physician Fee Schedule
Covers CMS’s decision to establish separate payment for advance care planning services for Medicare beneficiaries and the general timing of when those services became available for reporting and payment.
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Conversion factor update and overall payment impact
Summarizes the article’s discussion of the 2016 conversion factor and the broader context of Medicare payment changes described in the final rule.
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Specialty-specific reimbursement changes
Describes selected payment and RVU changes affecting gastroenterology and pathology practices, along with the article’s discussion of how CMS characterized those adjustments.
What You Will Learn
- What CMS changed in the 2016 Medicare Physician Fee Schedule
- Which general service categories were discussed in relation to advance care planning
- How the article frames broader Medicare payment changes for selected specialties
- Which specialties were highlighted as seeing notable reimbursement shifts
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle teams
Codes Discussed
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