Physician P4P: Is your CDI team ready?
by James P. Fee, MD, CCS, CCDS
More 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