Medicare Compliance & Reimbursement

There's more: 21.5 percent cut looms for your services. Heavy pay cuts for your physician's services could be on the horizon, according to the proposed Medicare Physician Fee Schedule, printed in the July 13 Federal Register. CMS is projecting a record 21.5 percent rate cut, and proposes halting payment for consult codes in 2010. Instead of reporting consult codes, you'd report new or established patient office visit or hospital care (E/M) codes for these services, and CMS would increase payments for the existing E/M codes. To determine the impact of this change, you'd have to compare the reimbursement from the new fee schedule office visit fees vs. the current office consult fees, as well as the new hospital visit E/M charges vs. the current hospital consult fees, says Quinten A. Buechner, MS, MDiv, CPC, ACS-FP/GI/PEDS, PCS, CCP, CMSCS, president of ProActive Consultants in Cumberland, Wis. Using this year's figures, you'd [...]