Medicare Compliance & Reimbursement

2013 Medicare Physician Fee Schedule:

Expect Telemedicine To Bring In Increased Revenues

Actual distribution of the federal funds to boost Medicaid rates left up to the individual states. The 2013 Medicare Fee Schedule released Nov. 6 has brought a mixed bag for emergency departments. Sustainable Growth rate (SGR) driven reduction in the Medicare conversion factor could lead to a drop by 26.5 percent to $25.0008, even though the RVU rates have stayed flat. Get the expert analysis of the most ED-relevant issues that will impact your group payments next year. The final rule includes Tables 134 and 135 that offer estimates on the impact of the 2013 physician fee schedule provisions by specialty. Caveat: Both by RVU changes and the impact of various policies (PPIS, MPPR utilization, TCM) the estimated impact for emergency medicine is zero percent for 2013. However, those estimates do not take the impending SGR cut of 26.5 percent into consideration. The work RVUs for ED E/M and observation [...]
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