tci Medicare Compliance & Reimbursement - 2005 Issue 44
PHYSICIANS: Feds Set To Slash Payments In 2006
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Article Overview
This article reviews a CMS final rule under the Medicare Physician Fee Schedule and explains the broad policy changes it makes for 2006. It is relevant to physicians, billing and reimbursement staff, and compliance professionals who track Medicare payment updates, coverage expansions, facility payment changes, quality demonstrations, and self-referral policy updates. The article also notes related changes affecting glaucoma screening, certain drug and biological payments, inhalation drug dispensing fees, and a new cancer quality demonstration.
Why This Topic Matters
It matters because annual Medicare payment rules can affect reimbursement, covered services, and compliance requirements across multiple care settings. Readers who bill Medicare or manage physician reimbursement need to know which policy areas were updated and where additional operational changes may be required.
What You Will Learn
- The scope of the 2006 Medicare Physician Fee Schedule final rule
- Which Medicare payment and coverage policies were updated
- What categories of provider and facility payment changes are discussed
- How CMS frames related quality and self-referral policy changes
- Which parts of the rule are described as taking effect later or being temporary
Who Should Read This
- Physicians
- Medical billers
- Coders
- Revenue cycle professionals
- Compliance staff
- Practice managers
- Medicare reimbursement specialists
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