Gastroenterology Coding Alert

News You Can Use:

Fee Schedule Cuts Medicare Pay By 21.2%, Scraps Consults

Bonus: CMS increases pay for office visit codes. Get ready for another year of nail-biting to find out if Medicare payments will be cut. "The update to the physician fee schedule conversion factor is -21.2 percent for CY 2010," notes the 2010 Medicare Physician fee schedule Final Rule, printed in the Federal Register that will be published on Nov. 25. Traditionally, Congress has stepped in to reverse such dramatic cuts before they take place, but unless that happens this year, you'll face a conversion factor of $28.4061 effective Jan. 1, according to calculations in the Federal Register. Gastroenterologists do dodge one bullet: Although cuts to certain CPT codes will have a drastic impact on certain specialties in 2010, the Centers for Medicare & Medicaid Services (CMS) estimates that gastroenterology practices will see reimbursement drop by only 1 percent next year. In contrast, nuclear medicine specialists will see their reimbursement [...]
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

Gastroenterology Coding Alert

View All