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eDocTalk article

CMS finalizes physician payment rates for 2014

January 2014

You and your clinical team spend a lot of unpaid hours managing your Medicare patients' chronic conditions beyond the face-to-face office encounters — the late-night and weekend phone calls, all the extra work.

Enter "G-code" for Chronic Care Management Services. The G stands for Government, as in the Centers for Medicare & Medicaid Services, which devised this code as a way to incentivize doctors to do a much better job coordinating their patients' care. However, the G-code is valued at only 20 minutes of non-face-to-face activity per Medicare beneficiary every month, or roughly $30 depending on geographic or other pay adjustments.

Also in a recently issued rule, CMS finalized payment rates and policies for 2014, including a major proposal to support care management outside the routine office interaction as well as other policies to promote high quality care and efficiency in Medicare. CMS’ care coordination policy recognizes the importance of care that occurs outside of a face-to-face visit for a wide range of beneficiaries beginning in 2015.  The final rule sets payment rates for physicians and non-physician practitioners paid under the Medicare Physician Fee Schedule for 2014 and addresses the policies included in the proposed rule issued in July. CMS projects that total payments under the fee schedule in 2014 will be approximately $87 billion.


Read the original news release. 

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