Your Top 7 Questions about Getting Paid in 2014 Answered

Lea Chatham December 24th, 2013

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medical billing tips from Kareo

In her recent webinar, Getting Paid in 2014: What You Need to Know, speaker Elizabeth Woodcock covered an amazing amount of information about what will be happening in medical billing and reimbursement in 2014. There were over 780 participants and a lot of questions. We’ve chosen seven of the top questions to share here.

Q: Where can I find the Medicare new fee schedule?
A: You can find the 2014 Medicare fee schedule at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched.

Q. How long is sequestration going to continue?
A: The Murray-Ryan budget deal passed on December 18. If signed by the President (which is expected), sequestration as it applies to Medicare payments will be extended through 2023. Tweet This

Q: Where do I find the CPT code changes for my specialty?
A: You can order the 2014 CPT® Manual now, along with the book CPT® Changes 2014, both published by the American Medical Association. Most specialty societies also have a “run-down” of the changes, so please do check with your society as well.

Q. When will we start to see reimbursement for electronic consults?
A: Some payers—including Aetna—do offer reimbursement for electronic or “virtual” consults. If yours does not, it may be valuable to request it during negotiations or determine how to bill patients (as a non-covered service, and thus, their financial responsibility).

Q: Are we going to see a move away from FFS to other models with Medicare?
A: The legislation that incorporates the permanent fix to the sustainable growth rate (SGR), which is anticipated to pass in 2014 based on approvals by Congressional committees this fall, all mentions paying physicians based on “quality.” How that will really translate into reimbursement, however, is an unknown at this time.

Q: How do we find out what exchange plans are available in our area?
A: Either the Healthcare.gov website, or simply “Google” on the name of your state and the phrase “insurers participating in ACA exchange.” I was not able to find a site that incorporated all of the states and their payers, but here is a link to a July 2013 study that does list several states— and their insurers.

Q: Where can we find the ICD-10 guidelines, code books and resources?
A: Coding books and other materials are available in many places. You can visit www.ahima.org, www.amazon.com, www.aapc.com, www.medicalcodingbooks.com, www.ebay.com, www.ama-assn.org, www.icd10codebooks.com, or even do a search on Google. There are apps available for both Apple and Android if you search the app store. Groups like AHIMA, AAPC and the AMA also have other training opportunities and tools. For more information, you can visit the Kareo ICD-10 site as well.

If you missed this great event, check out the recording. You can also sign up for the next free webinar at the Kareo resources page.

About the Speaker

Register for Getting Paid in 2014 with Elizabeth Woodcock

Elizabeth Woodcock, MBA, FACMPE, CPC is a professional speaker, trainer and author specializing in medical practice management. She has focused on medical practice operations and revenue cycle management for more than 20 years.

 

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