Outpatient Facility Coding Alert - 2011 Issue 40
Part B Pay: CMS Slashes 2012 Conversion Factor by Over 27 Percent Vs. Current Rates
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Article Overview
This article explains major Medicare Part B payment changes for 2012 under the Physician Fee Schedule final rule. It discusses the conversion factor update, the broader financial impact on physician and specialty practices, and CMS policy changes affecting imaging and other selected specialties. The piece is relevant to physicians, practice managers, coders, and revenue cycle staff who track Medicare fee schedule updates and specialty reimbursement trends.
Why This Topic Matters
Medicare fee schedule changes can affect reimbursement planning, specialty mix, and practice finances across many outpatient and imaging-based services. Understanding the scope of the 2012 updates helps organizations prepare for payment shifts and monitor policy developments that may alter future Medicare rates.
Article Sections
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Conversion factor and Medicare payment update
Introduces the 2012 Medicare Physician Fee Schedule update and its expected effect on overall Part B reimbursement. Summarizes the CMS final rule and the broader payment context discussed in the article.
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Imaging practices to suffer
Focuses on policy changes affecting imaging-related services and the resulting payment impact on radiology-focused practices. Describes the category of services and the CMS policy area driving concern.
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Some specialists will see gains, while others will find cuts
Reviews the specialty groups highlighted in the fee schedule as facing either reductions or increases. Covers the general reimbursement outlook for multiple practice types discussed in the article.
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Other specialties will see gains
Summarizes the specialties and practice types identified as receiving positive payment adjustments. Presents the article’s comparison of groups expected to benefit under the 2012 update.
What You Will Learn
- How the 2012 Medicare Physician Fee Schedule update affects Part B payment levels
- Which broad specialty groups are discussed as facing reductions or increases
- How CMS policy changes are described as affecting imaging-related reimbursement
- What the article says about the larger Medicare payment environment and pending congressional action
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders
- Revenue cycle staff
- Radiology and imaging practices
- Specialty billing teams
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