Consultation Reimbursement
The Centers for Medicare and Medicaid Services (CMS) has proposed the elimination of payments to physicians for consultations provided to patients. This has sparked a reaction of horror from many physicians, primarily specialists who routinely provide such consultations. The Practice Management Committee (PMC) and staff of the American College of Chest Physicians (ACCP) have evaluated the financial impact of the elimination of such payments. The ACCP analysis is that the proposed change is not likely to substantially affect the average practice. The actual impact, of course, cannot be known until the final rule from CMS is promulgated, which is expected in early November for a January 1, 2010, effective date.
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