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Chronic care management payments arrive with revenue opportunity, hurdles

11/10/2014

You can start billing for chronic care management (CCM) Jan. 1 and earning $40.39 per month per patient, according to the 1,185-page final 2015 Medicare physician fee schedule released Oct. 31.

PQRS in 2015 will require care in measures selection to avoid 2 pay cuts

11/10/2014

by: Julia Kyles

Every provider will be at risk of penalties under the physician quality reporting system (PQRS) and the value modifier in 2015, so become familiar now with next year’s requirements.

RVU shifts change payments, create fee schedule winners and losers in 2015

11/10/2014

by: Scott Kraft

The biggest impacts on the prices Medicare pays for individual services, other than the change to the conversion factor, are the relative value units (RVUs) established for services, which are scheduled to be revalued periodically. Part B News has done some preliminary analysis to identify specialties and services that fared better or worse than average for 2015.

Physicians expect SGR fix to avoid 21% pay cut in April and more from 2015 rule

11/10/2014

by: Richard Scott

Despite the annual steep reimbursement decline in the final 2015 Medicare physician fee schedule, not all is doom and gloom: Experts forecast a resolution prior to the March 31 expiration of the current fix, and some think a permanent fix may be on the horizon.

Online exclusive: More coverage of the final 2015 Medicare physician fee schedule

11/10/2014

by: Part B News staff

Part B News is providing exclusive online coverage and analysis of the final 2015 Medicare physician fee schedule.

CME speaker payments exemption changes for Open Payments reporting

11/10/2014

by: Marla Durben Hirsch and Roy Edroso

CMS tinkered with the compliance obligations of its Open Payments program, using the final 2015 Medicare physician fee schedule to change what continuing medical education (CME) payments are reportable and tweaking the reporting of stocks and marketed names and product areas.

Avoid compliance headaches; update your list of services covered by Stark rule

11/10/2014

by: Julia Kyles

Take note of revisions to the procedures and services covered by the Stark Physician Self-Referral rule in the physician fee schedule and make sure your practice isn’t involved in problematic referral arrangements for them.

Mixed bag of payment increases, decreases in 2015 for commonly billed codes

11/10/2014

by: Karen Long

Providers who bill electrocardiograms (93000), some subsequent hospital care codes (99232-99233) or physical therapy (97110) will see payment increases starting Jan. 1, according to a Part B News analysis of the final 2015 Medicare physician fee schedule.

Final 2015 Medicare physician fee schedule

11/10/2014

by: Part B News staff

Click the "download file" link to see a copy of the final 2015 Medicare physician fee schedule.

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