MPFS Corrections Document Worth a Look

The 2010 Medicare Physician Fee Schedule (MPFS) final rule was posted in the Federal Register over a month ago, giving you plenty of time to review policy changes before the Jan. 1 implementation date. The only question that remains is: Did you review the most recent version? There are a number of technical and typographical errors that have since been identified and corrected.

While some of the corrections are semantics, many may directly affect your practice and are worth noting. For example, on page 62001, in the discussion concerning removing self-administered drugs from the SGR calculation, a belated substitution of the word “proposal” for “change” may not be of great importance. You may, however, be interested in a correction made to the 2010 payment amounts associated with CPT® code 99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family.

You’ll find many similar corrections in the “Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2010; Corrections” document, published in the Federal Register on Dec. 10, 2009.

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