By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    An Expert’s Guide To Building and Improving Endurance
    June 30, 2022
    medical assistants
    What Do Medical Assistants Do On a Day to Day Basis?
    April 5, 2022
    superfoods to help with prostate health
    10 Healthy Foods That Can Help Protect Your Prostate
    August 29, 2022
    Latest News
    5 Steps to a Promising Career as a Healthcare Administrator
    August 3, 2025
    Why Custom Telemedicine Apps Outperform Off‑the‑Shelf Solutions
    July 20, 2025
    How Probate Planning Shapes the Future of Your Estate and Family Care
    July 17, 2025
    Beyond Nutrition: Everyday Foods That Support Whole-Body Health
    June 15, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    healthcare cost crisis
    What If the Health Care Cost Crisis Solves Itself?
    May 11, 2013
    Do You Need Life Insurance? What Does It Cover?
    December 23, 2022
    HIE metal plans
    The Four “Metal Plans” of Health Insurance Exchanges
    May 28, 2013
    Latest News
    How IT and Marketing Teams Can Collaborate to Protect Patient Trust
    July 17, 2025
    How Health Choices and Legal Actions Intersect After an Injury
    July 17, 2025
    How communities and healthcare providers can address slip and fall injuries with legal awareness
    July 17, 2025
    Let Your Lawyer Handle the Work Before You Pay Medical Costs
    July 6, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: CMS Delays 2014 Final Rule
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > Finance > CMS Delays 2014 Final Rule
BusinessFinanceHealth ReformHospital AdministrationPolicy & LawRadiology

CMS Delays 2014 Final Rule

Andy Salmen
Andy Salmen
Share
4 Min Read
CMS delays final rule
SHARE

CMS delays final ruleFinancial woes and indecision by the government may seem far away when it comes to medical billing management; but when it comes to getting paid, your staff needs to stay current on what’s happening in D.C.  

CMS delays final ruleFinancial woes and indecision by the government may seem far away when it comes to medical billing management; but when it comes to getting paid, your staff needs to stay current on what’s happening in D.C.  

The government shutdown didn’t give the regulators over at the Centers for Medicare & Medicaid Services much time off, so be prepared for their final rule making on November 27, 2013 with an effective date of New Year’s day 2014.

Although most of the proposed changes in Washington will more considerably affect your patients, there’s one that has been brewing since the Deficit Reduction Act (DRA) in 2005, which capped the technical component (TC) reimbursement for imaging providers at either the Medicare Physician Fee Schedule (MPFS) or the Hospital Outpatient Prospective Payment System (HOPPS).  Whether you’re part of an orthopedic practice that deals with MPFS rates or a radiology provider affiliated with a hospital in a satellite location (HOPPS billing), both fee schedules will be reduced, some by as much as 38 percent.

More Read

Value-Based Purchasing
Show Me the Money: Profitability Through Value-Based Purchasing
A Doctor Pans Electronic Health Record Incentives
Will The Surge In Celebrity Surrogacy Change The Business Of Fertility?
CO-OPs – The Stealth Public Option Under the ACA?
Healthcare Maps from RAC

The American College of Radiology compiled a listing of 70000 CPT codes and those non-70000 codes commonly used by radiologists, with a side-by-side of rates for 2013 and those proposed for 2014, with a percentage rate of change.  With reduced rates of reimbursement, medical billing management needs to stay up on current procedure codes to ensure timely and accurate EDI submissions.  The devil is in the details, though, and this is nowhere more evident than the morass of rule changes, with such hidden pitfalls as the fact that you may be using the right CPT code for a pre-service procedure, such as 37202 for a transcatheter therapy infusion, the general time allowed to do this has gone from 45 minutes to zero, which basically begs the question, is this suddenly non-billable?      

Another significant change is in durable medical equipment; so if your practice of facility was about to make an investment in DME, your medical billing management will need to know the new direct input for equipment to match reimbursable CPT codes.  For example, the Centers for Medicare & Medicaid (CMS) are proposing the descriptor of “bronchofibervideoscope,” which more closely matches CPT code 31620, i.e., endobronchial ultrasound.  Unfortunately, there are yet no pricing inputs in the PR database, so practices are encouraged to submit copies of their paid invoices to establish pricing guidelines.

Stay tuned for news of the proposed changes that should hit right after Thanksgiving and prepare to ring in the new year with new guidelines.

(Image courtesy of cleverdesigner/pixabay.com)

Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

technology in medical research
The Tools Helping Medical Researchers See the Full Picture
News Technology
August 3, 2025
5 Steps to a Promising Career as a Healthcare Administrator
5 Steps to a Promising Career as a Healthcare Administrator
Health
July 31, 2025
holistic dental
Holistic Dentist Services Are Natural and Safe
Dental health Specialties
July 28, 2025
botox certification
Help Improve People’s Skin Health Via Botox Certification
Skin Specialties
July 22, 2025

You Might also Like

Siemens and Stand Up To Cancer
BusinessPublic HealthSpecialties

Passing Hope in the Form of a Baton

March 24, 2014

Debt Ceiling Negotiations on Health Care are Mere Cost Shifting

July 15, 2011

Striking Physicians in UK Express Anger at Government Balk over Pensions

June 22, 2012

Obama Likely to Win the Birth Control Debate

February 15, 2012
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?