tci Medicare Compliance & Reimbursement - 2015 Issue 18

Physician Fee Schedule: Pay Attention to Other Key Issues in Physician Fee Schedule Proposed Rule

CMS geared to move forward with value-based payment modifier program. The introduction of reimbursement for the CPT® codes for advance care planning (ACP) isn’t the only big change in the 2016 Medicare Physician Fee Schedule proposed rule — you have a plethora of other ground-breaking provisions to look forward to. For instance, the Centers for Medicare & Medicaid Services (CMS) proposes several other provisions that promote person-centered care, as well as provisions that move the Medicare program from a quantity-based payment system to one that reimburses based on quality of care. First, the proposed rule sets the 2016...

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