Part B Insider - 2015 Issue 2
Looking for Good News? CMS Rings in 2015 With Some RVU Raises
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Article Overview
This article covers a CMS technical correction released at the end of 2014 that changes 2015 Medicare physician fee schedule relative value units and briefly affects payment processing timing. It is aimed at emergency medicine coders, billers, and reimbursement staff who need to understand how the update may influence Medicare payment levels and claim handling during early 2015. The discussion stays at a high level and focuses on the categories of services impacted, the conversion factor adjustment, and the temporary claim hold announced for January.
Why This Topic Matters
Small changes in RVUs and the Medicare conversion factor can affect reimbursement for commonly reported emergency department services. The article helps readers track a late-breaking CMS update and its potential impact on payment and claim workflow.
Article Sections
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RVU technical correction for 2015
Summarizes a CMS correction to the 2015 Medicare physician fee schedule and describes the general types of emergency department services affected by the update.
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Conversion factor change and timing
Explains the accompanying change to the Medicare conversion factor, the limited time frame for the update, and the potential effect on early 2015 reimbursement. It also notes the temporary delay in claims processing announced by CMS.
What You Will Learn
- How a CMS technical correction can alter Medicare physician fee schedule values
- Why RVU changes matter for emergency department reimbursement
- What a conversion factor adjustment means in broad terms
- Why CMS announced a temporary hold on early January claims processing
Who Should Read This
- Emergency department coders
- Medical billers
- Revenue cycle staff
- Emergency medicine practice administrators
- Reimbursement analysts
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