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Medicare Compliance & Reimbursement

2013 Payment:

Practices Face 26.5 Percent Cut Unless Congress Steps In

Published on Mon Nov 26, 2012


Remember to read between the lines even for good news.

The
Centers for Medicare & Medicaid Services released the Final 2013 Medicare Physician Fee Schedule on Nov. 1. The fee schedule brings providers both good news and cause for worry

Mixed bag:
The new transitional care management codes and associated payment is something to cheer about. However, the proposed 26.5 percent conversion factor cut could impact practices across-the-board if Congress doesn't act to reverse it before Jan. 1.
The 1,362-page document, which was published in the Nov. 16
Federal Register, offers a look into how the agency configures its RVU assignments, and shows just which specialties will escape drastic cuts to their reimbursement.
CMS Assigns New Codes for Hospital Transitions

If your physician spends a significant amount of time providing care for patients transitioning back to the community [...]
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