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We've noted practices in some areas of the country are facing decreases in their reimbursements because the minimum work geographic practice cost indices (GPCI) of 1.000 expired Jan. 1. Below is a complete list of those locales with work GPCIs below 1.000.  

The two-month pay fix to the 2010 conversion factor was supposed to keep the conversion factor at the 2009 rate of $36.0666. But you'll be pleasantly surprised to learn CMS has adjusted the conversion factor up slightly to $36.0846 for 2010.

Just before the New Year CMS issued a 556-page proposed rule detailing how you can earn an electronic health record (EHR) incentive starting in 2011. The incentives could mean thousands of dollars of additional revenue per provider for your practice.

Over the last month, the website Keep the Codes popped up to help you and your peers lobby HHS and Congress over keeping consultation billing. The site is well organized (by the American Association of Clinical Endocrinologists) with form letters and a petition (with more than 1,100 signatures) to make your opinions on consults well known. But the Keep the Codes cause is likely too little, too late.

As expected, the Senate went ahead and passed the health reform bill on Christmas Eve. Republicans had pledged to offer resistance to the last, but the threat of a major Midwestern snow storm led to an agreement between the GOP leadership and Democrats to wrap up the vote on the morning of Dec. 24. The vote had been set for the evening.

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