Revised 2007 Medicare Physician Fee Schedules Available
On July 2, 2007, per Change Request 5476, WPS Medicare revised the 2007 Medicare Physician Fee Schedules for all localities to display the denotation mark for diagnostic imaging procedures for which payment is capped at the Outpatient Prospective Payment System (OPPS) payment amount.
Background
Section 5102(b) of the Deficit Reduction Act of 2005 requires a payment cap on the technical component (TC) of diagnostic imaging procedures. For the TC of diagnostic imaging services including the TC portions of the global imaging services, the payment will be capped based on the Outpatient Prospective Payment System (OPPS). Based on this change, WPS Medicare placed a denotation mark on the fee schedule disclosure reports that identifies the services for which the payment has been capped at the OPPS payment amount.
The limitation of the physician fee schedule amount to the level of the OPPS payment amount applies to the TC portion when the global service is billed, and when the TC portion is billed alone. To determine if OPPS payment applies to the TC of diagnostic imaging services, WPS Medicare compared the physician fee schedule amount to the OPPS amount. If the lowest amount was the OPPS amount, WPS Medicare marked the disclosure reports as being capped at the OPPS payment amount.
The revised 2007 Medicare Physician Fee Schedules are located on our Website by
clicking here.
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Page Last Updated: Wednesday, 13-Aug-2008 10:41:40 CDT
