How are radiology practices impacted by annual changes to the MPFS?

Conclusion Understanding the annual changes in Medicare’s fee schedules is useful when analyzing areas where the practice’s revenue might be increasing or decreasing. Many commercial payers base their fees on the Medicare table, although not all of them make the same changes, or at the same time, as Medicare does. The same volume-weighted analysis technique can be applied to commercial fee schedules, as well. Healthcare Administrative Partners will continue to keep you abreast of the Medicare payment system. Sandy Coffta is vice president of client services at Healthcare Administrative Partners. The comments and observations expressed are those of the author and do not necessarily reflect the opinions of AuntMinnie.com. Reference 1. The process used to perform a volume-weighted analysis involves gathering data from the previous year that shows the number of times each procedure code was billed for Medicare patients. The procedure volumes are multiplied by the 2023 Medicare fee schedule rates in one column, and again by the 2024 Medicare fee schedule rates in another column. Totaling each column will reveal the total practice revenue for the previous year and the reimbursement that the practice could expect in the current year assuming the volume of each procedure is unchanged. The percentage increase or decrease can then be calculated.
Source: AuntMinnie.com Headlines - Category: Radiology Authors: Tags: Economics Source Type: news