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2011 Medicare Physician Fee Schedule

Posted 1:29 PM by

Last week, CMS issued its proposed 2011 Medicare Physician Fee Schedule for a comment period. The proposed rule implements key provisions of the Affordable Care Act of 2011. 

Among other things, the proposed rule provides:

  • A 10% incentive payment for various primary care practitioners (where primary care services represent 60%+ of allowed Medicare charges in a prior period)
  • A 10% incentive payment to surgeons performing major surgeries in health professional shortage areas
  • Coverage for an annual wellness visit and eliminates out-of-pocket costs for most preventative services
  • Providers must notify patients that in-office imaging services are available and may be received from other nearby vendors

The rule also contains a total reduction in Medicare rates between November and January of 24.9%. However, Congress has not allowed these reductions to occur in every year since 2003. Therefore, a fee schedule analysis may or may not be in order to anticipate the impact of this rule (depending on your faith in Congress to provide relief).

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Katz, Sapper & Miller’s Healthcare Resources Group serves healthcare providers, including physicians, hospitals and health systems, surgery centers, and long-term care facilities. Our team of healthcare professionals has the scope and depth to meet client needs. Learn more.

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