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
    All-On-4 Dental Implant Surgery: A Guide to the Recovery Process
    All-On-4 Dental Implant Surgery: A Guide to the Recovery Process
    March 22, 2023
    scaling a pharmaceutical product
    Important Steps to Take for Scaling A Biopharma Product
    May 2, 2023
    Liposuction
    The Science Behind Liposuction: How It Works to Sculpt Your Body
    August 23, 2023
    Latest News
    Beyond Nutrition: Everyday Foods That Support Whole-Body Health
    June 15, 2025
    The Wide-Ranging Benefits of Magnesium Supplements
    June 11, 2025
    The Best Home Remedies for Migraines
    June 5, 2025
    The Hidden Impact Of Stress On Your Body’s Alignment And Balance
    May 22, 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
    Nursing Shortage Cheerleaders: There You Go Again
    March 22, 2012
    Myth Busters #9: Hysteria Over the Uninsured
    September 27, 2011
    What Causes Inflammation? A Comprehensive Look At The Causes and Effects Of Inflammation (part 3)
    April 10, 2012
    Latest News
    Preventing Contamination In Healthcare Facilities Starts With Hygiene
    June 15, 2025
    Strengthening Healthcare Systems Through Clinical and Administrative Career Development
    June 13, 2025
    Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
    May 18, 2025
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 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
Last updated: November 25, 2013 9:11 am
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

A Look Into Designing The Smart Hospitals Of Tomorrow
Young Adult Coverage Provision under ACA Beats Fed’s Expectations
Patients Going Mobile: The Consumerization of Radiology
Hospital Evacuation – it can and does happen!
Is Your Hospital Brave Enough to Publish Online Physician Reviews?

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

healthcare facilities
Preventing Contamination In Healthcare Facilities Starts With Hygiene
Global Healthcare Infographics
June 15, 2025
from gut to glow
From Plate to Wellness: How Everyday Foods Nourish Your Body Inside and Out
Dental health Infographics Specialties
June 15, 2025
beyond nutrition
Beyond Nutrition: Everyday Foods That Support Whole-Body Health
Health Infographics
June 15, 2025
Transcranial Magnetic Stimulation (TMS) Therapy
How TMS Therapy Helps with Treatment-Resistant Mental Illness
Mental Health Therapies
June 13, 2025

You Might also Like

Global Warming: Good for Your Health?

June 22, 2011
Health careHealth ReformPolicy & LawPublic Health

The Data Shows an Opioid Crisis in America

January 22, 2018

Wearable Computers, Biosensors and Sanity

March 13, 2014
Health care

How Would You Choose The Best Medical Clothing And Gloves?

June 21, 2021
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?