tci Medicare Compliance & Reimbursement - 2004 Issue 37

Physicians: 'Welcome To Medicare' Exam Could Make Doctors Into Doormats

Level 3 office visit reimbursement not enough for difficult service, physicians complain.Far from being a boon to doctors, the new "Welcome to Medicare" exam benefit will be a huge and underfunded burden, doctors complained at the Aug. 30 Practicing Physicians Advisory Council meeting.In the proposed rule for the 2005 physician fee schedule, the Centers for Medicare & Medicaid Services said it would pay for the equivalent of a level three new patient visit (99203) plus an electrocardiogram (93000) for the one-time service, to be covered within six months of a beneficiary's joining Medicare. CMS also included several...

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