88305 cuts

[trudyfae]

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Pardon my ignorance, but does the medicare cut delay passed with the fiscal cliff negotiations also delay the reimbursement cuts to the 88305?
Thanks

 

[deleted314957]

no

 

[Textbookversion]

The cut that was delayed a year is this: http://en.wikipedia.org/wiki/Medicare_Sustainable_Growth_Rate

They also delayed some other changes to medicare 2 months.

88305 cuts aren't going anywhere and aren't changing because of legislation but rather administrative decisions by CMS.

 

[2121115]

Not sure how the math adds up, but CMS estimates that the 52% cut to the 88305 TC will only result in a 6% decrease in pathology reimbursement.

CAP ’13 Fee Schedule Comments Aim to Curb Reimbursement Cuts; Protect Pathologists’ Role in Molecular Pathology

The College urged the Centers for Medicare and Medicaid Services (CMS) to make changes that would prevent some of the cuts in reimbursement to pathology scheduled for 2013 as well as strengthen the pathologists’ role in molecular pathology in its response to the agency’s final 2013 physician fee schedule rule.

For 2013, CMS estimates that reimbursement to pathologists will decrease 6% primarily due to cuts in the technical component (TC) and global payment for CPT code 88305. CAP’s comments also respond to the agency’s request for additional evidence regarding the appropriate number of blocks assumed for capturing technical component costs for certain anatomic pathology services.

 

[LADoc00]

Not sure how the math adds up, but CMS estimates that the 52% cut to the 88305 TC will only result in a 6% decrease in pathology reimbursement.

CAP ’13 Fee Schedule Comments Aim to Curb Reimbursement Cuts; Protect Pathologists’ Role in Molecular Pathology

The College urged the Centers for Medicare and Medicaid Services (CMS) to make changes that would prevent some of the cuts in reimbursement to pathology scheduled for 2013 as well as strengthen the pathologists’ role in molecular pathology in its response to the agency’s final 2013 physician fee schedule rule.

For 2013, CMS estimates that reimbursement to pathologists will decrease 6% primarily due to cuts in the technical component (TC) and global payment for CPT code 88305. CAP’s comments also respond to the agency’s request for additional evidence regarding the appropriate number of blocks assumed for capturing technical component costs for certain anatomic pathology services.

Overall.

Listen to the CAP's last teleconf. on this.

Some codes went up.