Anesthesia Coding Alert

Fee Schedule:

Prepare for 26.2 Percent ACF Cut in 2012, if Congress Doesn't Step In

Plus: National Medicare CF could drop 27 percent.Get ready to end another year wondering how much your Medicare payments will be reduced in 2012. According to the Physician 2012 Medicare fee schedule Final Rule printed in the Federal Register on Nov. 1, the 2012 national anesthesia conversion factor (ACF) will be $15.5264 unless Congress acts to avoid the cut. An ACF of $15.5264 represents a 26.2 percent decrease from the national ACF in 2011, due to other factors impacting the CF. Remember: Although the national ACF might be $15.5264, you won't automatically use that number when calculating your claim fees. Instead, you'll use the specific ACF that applies to your geographic area, which takes local economic and practice expense factors into account. Example: The national ACF for 2011 is $21.05, but the local ACF for Delaware is $20.75. If you code for physicians in Delaware, you should use $20.75 in [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Anesthesia Coding Alert

View All