Physician P4P: Is your CDI team ready?

by James P. Fee, MD, CCS, CCDS

Physician-P4P-is-your-cdi-team-readyMore importantly, are your physicians ready? More than a decade of debate and instability within Medicare’s Physician Fee Schedule (MPFS) came to a historic end with the Sustainable Growth Rate (SGR) repeal in April of 2015.

The SGR formula attempted to curtail Medicare Part B spending (Medicare’s physician payment system) since 1997. The repeal, as a national milestone, not only averted a 21% reduction in provider reimbursement, but it offered assurance that a streamlined incentive payment program would emerge, uniting fee-for-service with value and quality.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) provides stable updates for five years (0.5% annually) and ensures that no changes are made to the current payment system for four years.

What does that mean today? Continue reading >>

This is an excerpt from the ACDIS CDI Journal – Nov/Dec 2015 issue


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