tci General Surgery Coding Alert - 2015 Issue 6

Medicare Pay: Usher Out SGR Formula - For Good

Expect new quality pay plan(s). You won’t ever have to cross your fingers again in hopes that Medicare doesn’t suddenly slash your pay under the Sustainable Growth Rate (SGR) formula. That’s because Congress finally acted to eliminate SGR in favor of a different way to calculate Medicare pay. The change comes none too soon — you faced a 21 percent pay cut slated for April 1, and that followed 17 Congressional payment “patches” since 2002 to halt the payment nosedive. “No more will we be kicking the can down the road with another temporary...

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