Outpatient Facility Coding Alert - 2010 Issue 42
Part B Payment: Practices to Lose 23 Percent in Pay Next Week Unless Congress Intervenes
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Article Overview
This article covers Medicare Part B payment policy at a moment of uncertainty, focusing on pending physician reimbursement cuts, congressional inaction, and CMS commentary on the 2011 Medicare Physician Fee Schedule Final Rule. It also touches on broader payment-related provisions affecting preventive services, primary care incentives, and geographic practice expense adjustments. The piece is aimed at physicians, medical practice administrators, coders, and revenue cycle professionals who need to understand near-term Medicare payment changes and their operational implications.
Why This Topic Matters
Medicare payment changes can affect physician participation, practice revenue, and beneficiary access to care. This article helps readers monitor policy changes that may alter reimbursement timing and related fee schedule provisions.
Article Sections
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Pending Medicare Part B payment cuts and congressional response
Discusses the looming Medicare payment reduction, the legislative backdrop, and the concerns raised by physician advocacy groups and practices.
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2011 Medicare Physician Fee Schedule and CMS Open Door Forum update
Summarizes CMS remarks about the upcoming fee schedule rule and how changes in law could affect published rates and files.
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Selected 2011 fee schedule policy changes
Covers broad categories of payment policy changes discussed by CMS, including preventive services, primary care incentives, and practice expense geographic adjustments.
What You Will Learn
- How impending Medicare Part B payment changes may affect physician practices
- What CMS indicated about the 2011 Medicare Physician Fee Schedule
- Which broad policy areas were highlighted in connection with 2011 Medicare payment updates
- How preventive services and primary care payment policy were discussed in the context of the fee schedule
Who Should Read This
- Physicians
- Medical practice administrators
- Medical coders
- Billing staff
- Revenue cycle professionals
- Healthcare compliance staff
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