The 2015 Physician Fee Schedule Proposed Rule, published in the July 11 Federal Register, includes a proposal (section II.B.4) to transition all CPT codes currently assigned a 10-day global period to a 0-day global period in 2017. Codes assigned a 90-day global period would transition to a 0-day global period in 2018.
The impact of this significant change could be broad and substantial in many ways. The reimbursement structure for surgical procedures will of course change altogether, with the surgeon foreseeably receiving less per procedure on the front end and creating more required billing processes during the post-op period. It could potentially change utilization by shifting post-op visits from the surgeon to other providers such as primary care providers.
This will certainly have an impact on RVU’s as the post-op follow up code of 99024 that currently has no RVU value associated with it will become obsolete. This should positively impact providers in regard to the RBRVU methodology.
Under Medicare Part B, patients may have out-of-pocket costs (20% co-insurance plus potential deductible) that they would not have incurred under the existing global package.
AHDPG will continue to monitor this proposed rule and offer insight as this change develops.
If you have not heard, there are going to be some changes for the RMT and CMT certifications. New credentials will be RHDS or CHDS. Below is the article from AHDI –
In late 2013, the current Medical Transcriptionist (RMT) and Certified Medical Transcriptionist (CMT) exams will be rebranded and renamed to Registered Healthcare Documentation Specialist (RHDS) and Certified Healthcare Documentation Specialist (CHDS). Please visit this webpage for updates and the most current information on the changes.
All new candidates taking and passing the credentialing exam offered through our current testing provider Kryterion, will receive their RHDS and CHDS upon the official release.
The transition for individuals who currently hold the RMT and CMT will vary based on when the credential was earned and personal preference. The options are detailed below
RMTs and CMTs who credentialed under the current exams (this includes those who passed the 2010 beta test) will automatically be changed to an RHDS or CHDS. A new certificate will be sent to reflect this designation when the rebrand takes place. You can begin using that designation upon receipt of their new certificate.
CMTs who earned their credential before the release of the current exam blue prints (before January 2011, with the exception of those who took the beta exam in fall of 2010), will have two options:
CMTs may choose to keep their transcription-specific credentials. AHDI will continue to service the CMT through the established recredentialing program. The CMT exam will no longer be offered to new candidates.
CMTs may choose to bridge over to the CHDS by taking an online continuing education course and quiz. The online course will cover the new areas introduced in the current exam blue prints. The online bridge course will be available only to current CMTs and will be optional. If the course is not successfully completed, the individual will retain their CMT and may take the online bridge course again after a 6 month waiting period. The pricing and details for the bridge course are not available yet.
RMTs who earned their credential before the release of the current exam blue prints (before January 2011, with the exception of those who took the beta exam in fall of 2010), will transition automatically to the RHDS designation through a revised recredentialing course. The current RMT recredentialing course is being updated to include the additional blue print domains not previously covered as part of the course. Two options will be available:
RMTs can opt to take the recredentialing course as soon as it is released or at any time during their credentialing cycle. Successful completion of that updated recredentialing course will earn the RMT their new RHDS designation and trigger a new 3-year cycle.
RMTs can choose to wait until end of cycle to take the recredentialing course to recertify and earn their new RHDS credential. Successful completion of that updated recredentialing course will earn the RMT their new RHDS designation and their new 3-year cycle will begin.
AHDI’s recredentialing program and policies will apply to all four credentials: RMT, RHDS, CMT, and CHDS. The information, policies, and guidelines will be updated and posted online when the rebranding is implemented.
Just download the form above and once you are done, email your entries to firstname.lastname@example.org before midnight tonight. The winner of the $50 AMEX gift card will be announced tomorrow on our facebook page. Good luck!
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Again, AHDPG would like to thank each and every one of you for your hard work and dedication to healthcare delivery and clinical documentation.
“As you enter positions of trust and power, dream a little before you think.”
― Toni Morrison
Write a funny caption for this cartoon. This lovely Medical Transcriptionist is taking a well deserved break-daydreaming! I think I would like to join her, wherever she is!
Enter as many times you like (just for Thursday) with different caption ideas. You can comment directly on our Facebook post or email your ideas to Lynn Calkins at email@example.com by midnight tonight. Friday, we will pick our three favorite Toon Captions and post them on Facebook for our audience to pick the winner.
The winner of the $50 AMEX gift card will be announced by Monday on our Facebook page. Good luck and remember to play every day for more chances to be entered in our “Grand” Prize drawing of a $200 AMEX gift card!