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Expect Small Decrease in 2010 Conversion Factor

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  • May 14, 2010
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A 0.015 percent reduction to the 2010 conversion factor is the result of relative value unit (RVU) corrections to the Medicare Physician Fee Schedule (MPFS) and physician reimbursement formula changes mandated by the Patient Protection and Affordable Care Act of 2010, or Health Reform law.

According to a Centers for Medicare & Medicaid Services (CMS) transmittal, the 2010 conversion factor is being revised, retroactive to Jan. 1, from $36.0846 to $36.0791.
The adjustment to the conversion factor, which amounts to half a cent, will lower some payments to physicians but increase others. Physicians in low cost areas will see payments rise because of positive geographic updates to the MPFS, mandated in the Health Reform law.
Contractors are instructed to begin paying claims at the new rates no later than June 1. According to a Part B News blog, however, CMS is asking providers to hold off on resubmitting claims affected by the payment changes.

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