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Policy

How to Read the Medicare Fee Schedule Without Losing an Afternoon

Every year the proposed rule lands. Here is where to look first and what actually affects your bottom line.

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The annual Medicare Physician Fee Schedule is long, dense, and important. Most physicians rely on their societies to summarize it. That is sensible, but knowing where to look yourself is valuable.

Three places to start

Look at the conversion factor, changes to the codes you bill most, and any new or modified payment policies for your specialty. Those three usually capture most of the financial impact.

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Marcus Bell

Marcus Bell covers health policy, reimbursement, and regulation for The Script Pad.

This article is for professional education and does not replace clinical judgment. Treatment decisions should be based on the individual patient and current guidelines.