DecisionHealth, DecisionHealth - 2009 Issue 11 (November)

Consultation codes payment calculation crosswalk

You and your peers providing consultations in an office setting will face drastic decreases in payment for providing the same service in 2010, according to a Part B News analysis. CMS has used a similar crosswalk to calculate budget neutrality in the Medicare Physician Fee Schedule. Below, we've taken the crosswalk and added dollar amounts to the services - including projections for 2010 payments with and without the scheduled 21.2% cut set for Jan. 1. You'll see dramatic differences between payments you received for a consult performed in 2009 and what you'd receive for performing the same service in 2010. CMS notes its crosswalk is not meant to be used as "billing guidance."

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