Payer Updates:
Primary Care May See Increased Payments Next Year Under CMS Proposed Rule
Published on Wed Jul 18, 2012
Plus, start getting prior authorization for Highmark patients for certain therapy services.In early July, the CMS announced a proposed rule that would update the Medicare Physician Fee Schedule (MPFS) reimbursement rates for 2013. CMS says the rule would result in nearly a 7 percent payment increase for family practitioners and other primary care providers an increase of 3 to 5 percent. "The 7 percent increase for family physicians comes from a proposal that continues the Administration's policies to promote high quality, patient-centered care," according to the CMS press release. "For CY 2013, CMS is proposing for the first time to explicitly pay for the care required to help a patient transition back to the community following a discharge from a hospital or nursing facility. The proposal calls for CMS to make a separate payment to a patient's community physician or practitioner to coordinate the patient's care in the 30 days [...]