Outpatient Facility Coding Alert - 2007 Issue 25
PHYSICIAN NOTES: Rural Counties Could Reap More Cash From Geographic Payment Fix
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Article Overview
This piece discusses Medicare physician payment locality differences and a GAO push for CMS to revise and regularly update geographic payment boundaries using a national standard. It also covers related CMS operational news, including delays to the National Provider Identifier database and recent Medicare contractor satisfaction survey results. The article is relevant to physicians, medical office staff, and billing professionals who track Medicare payment administration and agency updates.
Why This Topic Matters
Geographic payment locality changes can affect Medicare physician reimbursement across regions, especially where local rates differ materially from surrounding areas. The article also highlights CMS operational delays and contractor satisfaction metrics that may matter to practices managing payer relationships and provider data access.
What You Will Learn
- How Medicare physician payment localities can vary by region
- What the GAO recommended regarding geographic payment locality updates
- How CMS responded to the GAO’s locality recommendations
- What was reported about the National Provider Identifier database delay
- What the article notes about Medicare contractor provider satisfaction survey results
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders
- Billing and reimbursement staff
- Revenue cycle professionals
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