Reimbursement: 2014 Fee Schedule Proposals Look Bleak

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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 article summarizes CMS’s proposed 2014 Medicare Physician Fee Schedule and discusses how it may affect physician reimbursement across several specialties. It also covers CMS’s proposed approach for 2015 chronic care management, including the general structure of new service categories and related documentation and consent themes. The piece is relevant to physicians, non-physician practitioners, lab and pathology stakeholders, and reimbursement professionals tracking Medicare payment policy.

Why This Topic Matters

The proposed rule could affect payment expectations for multiple specialties and signals a new direction in Medicare payment for chronic care coordination. Readers interested in physician reimbursement, specialty payment impacts, and upcoming chronic care management policy changes will find the article useful.

Article Sections

  1. Watch the Conversion Factor Take A Dip

    This section discusses the proposed Medicare conversion factor for 2014 and the broader context of expected payment pressure under the fee schedule update.

  2. Other Specialties Could Face Steeper Cuts

    This section summarizes the proposed fee schedule’s projected impact on several provider and specialty groups, including laboratory and pathology-related areas.

  3. Look Ahead to 2015 for Chronic Care Bonuses

    This section covers CMS’s proposed chronic care management payment concept for 2015, including broad operational features such as patient participation, continuity of care, and service structure.

What You Will Learn

  • How CMS framed the proposed 2014 Medicare Physician Fee Schedule
  • Which provider groups were discussed in connection with projected payment changes
  • What CMS proposed for chronic care management payments beginning in 2015
  • Which broad documentation and consent themes were associated with the new chronic care proposal

Who Should Read This

  • Physicians
  • Non-physician practitioners
  • Medical practice administrators
  • Coding and reimbursement professionals
  • Laboratory and pathology stakeholders
  • Medicare billing staff

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