tci Part B Insider - 2009 Issue 31

PHYSICIAN NOTES: GAO Considers Nonsurgical Procedures for Multiple Procedures Payment Chopping Block

Plus: Michigan physical therapist faces up to 10 years in prison after pleading guilty to fraudulently billing Medicare for over $1.6 million. The Government Account Office (GAO) wants to save Medicare a half billion dollars -- and it has discovered a novel proposal that could cost physician practices dearly. According to a new report entitled "Medicare Physician Payments: Fees Could Better Reflect Efficiencies," the GAO asserts that multiple procedure payment reductions, which apply to surgical and imaging procedures, could be extended to non-surgical, non-imaging services. "For example," the report notes, "when two services are furnished together...

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