decisionhealth Newsletters, Part B News - 2015 Issue 7 (July)
Changes to incident-to rules CMS proposes could mean adjustments for practices
Subscribe or sign in to view the full article.
Article Overview
This article explains proposed CMS updates in the 2016 Medicare physician fee schedule that could affect how practices handle incident-to services, reimbursement for advance care planning, payment updates, and quality reporting requirements. It is relevant for physicians, non-physician practitioners, billing staff, compliance professionals, and practice administrators who track Medicare payment policy and reporting changes.
Why This Topic Matters
The proposed changes could affect practice workflows, billing relationships, and Medicare reimbursement under multiple payment and reporting programs. Understanding the scope of the proposal helps practices evaluate operational and compliance impacts before implementation.
Article Sections
-
Physician fee schedule -- updated
Introduces the proposed Medicare physician fee schedule changes and frames the main operational and payment topics covered in the article.
-
New payment for advanced care planning
Summarizes proposed Medicare coverage and payment policy for advance care planning services and discusses the broader context for reimbursement under the fee schedule.
-
Conversion factor not affected by SGR
Covers proposed annual payment update figures and related adjustments tied to the Medicare payment system.
-
CMS makes changes to PQRS
Describes proposed updates to quality reporting programs and the transition toward a broader performance-based payment framework.
What You Will Learn
- How CMS proposed to revise incident-to billing oversight under Medicare
- What categories of Medicare payment policy changes are included in the proposed fee schedule
- How proposed advance care planning payment updates fit into the physician fee schedule
- What kinds of quality reporting changes are being considered for upcoming program years
- Which provider groups may be affected by the proposed quality payment framework
Who Should Read This
- Physicians
- Non-physician practitioners
- Medical practice administrators
- Billing and coding staff
- Compliance officers
- Health care revenue cycle professionals
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com