Physician Payment Outlook for 2015 via Medical Economics

Posted: Jan 30 2015


What changes will 2015 bring for your practice’s reimbursements? Like so much else in business and medicine, the answer is, it depends.

If, for example, your practice includes many patients with multiple chronic diseases, or has remote treatment capabilities, you have the opportunity to boost your revenues. 

READ MORE: Physician practices grapple with new financial pressures

On the other hand, if you’re not participating in the government’s Physician Quality Reporting System (PQRS) or meaningful use program, 2015 will be the year you start feeling financial fallout from that decision.

And regardless of what else you do or don’t do in your practice, you could be facing a 21% cut in your Medicare reimbursements, unless Congress acts to fix the sustainable growth rate (SGR) formula.

In this article, Medical Economics explores some of the major payment changes and potential hurdles that physicians face in 2015, in order to help readers better understand the opportunities and challenges they will confront in the next year, and beyond.

Chronic care management

Apart from the ever-present possibility of an SGR-related cut, probably the biggest story of 2015 is the inclusion of a code for chronic care management (CCM) in the 2015 Medicare Physician Fee Schedule. 

Current Procedural Terminology (CPT) code 99490 allows practices to bill for time spent developing a plan for, and managing the care of, patients with two or more chronic, potentially life-threatening conditions. 


Read the full article via Medical Economics by clicking here


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