Medicare Fee Schedule Update for By Joy Newby LPN

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					Medicare Fee Schedule Update for 2008
By
Joy Newby, LPN, CPC
Newby Consulting, Inc.

President Bush signed the Medicare, Medicaid, and SCHIP Extension Act of 2007 that delays the
implementation of the -10.1 percent update to the conversion factor for six (6) months. This law
changes the conversion factor during the first six months of 2008 by mandating a 0.5 percent
increase of the 2007 conversion factor. What this means is that instead of receiving the following
decreases in fees beginning with services rendered January 1, 2008, without further
Congressional action these fees will be implemented with dates of service July 1, 2008.

The revised fee schedule is posted at
http://www.adminastar.com/Providers/Carrier/FeeSchedule/files/infees.pdf

An Excel version is posted at
http://www.adminastar.com/Providers/Carrier/FeeSchedule/files/2008INDIANAPHYSICIANDIS
CLOSUREfile4.xls

Fee Schedule Changes Effective with dates of service on or after July 1, 2008
Due to the conversion factor changes, physicians now have until Feb. 15, 2008 to notify Medicare
if they want to change status. Decisions are retroactive to Jan. 1, 2008.

Office Visits
                       CPT Code       2007 Fee      2008 Fee Difference
                                      Schedule      Schedule
                         99201           $33.20       $30.12     ($3.08)
                         99202           $58.28       $51.90     ($6.38)
                         99203           $86.20       $76.01   ($10.19)
                         99204          $132.02      $116.58   ($15.44)
                         99205          $166.01      $146.60   ($19.41)
                         99211           $18.58       $16.40     ($2.18)
                         99212           $34.23       $31.05     ($3.18)
                         99213           $56.37       $50.41     ($5.96)
                         99214           $85.45       $75.80     ($9.65)
                         99215          $115.63      $102.46   ($13.17)

Projected Physician Fee Schedule Updates Under Current Law
    2009 -5.0                       2012 -5.2                              2015    -5.0
    2010 -5.4                       2013 -5.1                              2016    -4.8
    2011 -5.3                       2014 -5.0

Seminars
Don’t forget to register for the 2008 seminar! Topics include coding changes for 2008, hospital
coding, and billing shared visits (physician and extender). We will discuss the new telephone
service codes. See you soon!!!