Part B Insider - 2015 Issue 3
Medicare Physician Fee Schedule: Watch for Possible April Pay Cut
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Article Overview
This article reviews Medicare Physician Fee Schedule developments affecting physician reimbursement in early 2015. It discusses the temporary stability created by congressional action, the potential for a future payment reduction tied to the sustainable growth rate framework, specialty-level payment outlooks based on RVU changes, and a short-term claims hold related to technical corrections. It is relevant to physicians, coders, billers, and practice administrators who monitor Medicare payment policy and fee schedule updates.
Why This Topic Matters
Medicare payment policy can affect reimbursement, cash flow, and planning for physician practices. Understanding fee schedule changes, specialty RVU impacts, and claims-processing delays helps coding and billing teams anticipate operational and financial effects.
Article Sections
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Start the Year With (Somewhat) Steady CF
Explains early-year Medicare payment stability and discusses the conversion factor update along with the broader policy context affecting physician reimbursement.
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Check Out Surgeons’ RVU Outlook
Summarizes specialty payment expectations tied to Medicare resource value unit changes and notes how certain service categories are being handled under the fee schedule.
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Your Claims Should Be Moving Again
Describes a temporary Medicare claims hold, why it occurred, and its expected effect on claim processing and cash flow.
What You Will Learn
- How early-2015 Medicare Physician Fee Schedule changes may affect physician reimbursement
- What the article says about the broader payment-policy environment and future uncertainty
- How specialty-level RVU changes are being discussed for surgeons and related services
- Why some Medicare claims were delayed briefly and when processing resumed
Who Should Read This
- Physicians
- Medical coders
- Medical billers
- Practice administrators
- Revenue cycle staff
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