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Inpatient Facility Coding & Compliance Alert

2013 Fee Schedule:

Catch These Changes to ED Coding Under 2013 Medicare Fee Schedule

Published on Fri Dec 21, 2012

 Tip: Pay special attention to PQRS, telehealth updates.   Medicare coding changes for 2013 include several items of special interest to ED coders -- namely changes to ED specific Physician Quality Reporting System (PQRS) measures, telehealth coding expansions, and a final answer on where ED physicians stand on getting additional Medicaid pay. If you code for the ED physicians at your facility, here’s what you need to know about implementing the changes without causing too many bumps in your reimbursement road. Forget About Frequently Reported ED PQRS Measures   CMS plans to retain the 12-month calendar year reporting period for the PQRS program in 2013 and beyond. The incentive payment for 2013 will remain 0.5 percent. The 2013 reporting period data will be used to determine both the 2013 incentive payment (0.5 percent) and the 2015 payment adjustment (-1.5 percent).   Successful reporting requirements for the program are proposed to remain [...]
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