Monday, May 17, 2010

Medicare payment fee schedule download.

Medicare payment fee schedule  is changing from state to state and county to county. Hence before download any fee schedule implemention, please make sure that you are choosing the correct county and state.

2010 Medicare Part B Fee Schedule for Delaware (DE), District of Columbia Metropolitan Area (DCMA), Maryland (MD), New Jersey (NJ), and Pennsylvania (PA) has been posted in https://www.highmarkmedicareservices.com/partb/index-feeinfo.html

2010 Medicare Part B Fee Schedule for Connecticut, Indiana, Kentucky and New York has been posted in http://www.empiremedicare.com/ (please select Part B and specify the region, you will be directed to 2010 Fee Schedule Database)
2010 Medicare physician fee schedule (MPFS) updates for Florida, Puerto Rico and U.S. Virgin Islands are posted in http://medicare.fcso.com/Fee_news/

2010 Part B Medicare Physician Fee Schedule for California (Jurisdiction 1 [J1] Part B) has been posted @
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Jurisdiction%201%20Part%20B~Publications~Fee%20Schedules~Medicare%20Physician%20Fee%20Schedules%20and%20Updates~8525746A00550AA38525768100694D43

2010 Part B Medicare and Clinical Lab Fee Schedules for the states Maine (ME), Massachusetts (MA), New Hampshire (NH), Vermont (VT) and Rhode Island (RI) are posted @ http://www.medicarenhic.com/ne_prov/fee_sched.shtml
To view 2010 Medicare Fee Schedule for all regions please refer http://www.cms.hhs.gov/PhysicianFeeSched/PFSCSF/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=2&sortOrder=descending&itemID=CMS1231104&intNumPerPage=10 (The Centers for Medicare & Medicaid Services (CMS) has condensed all 56 Physician Fee Schedule (PFS) carrier specific pricing files into one zip file)
The final rule for payment policies under the Physician Fee Schedule and other Revisions to Part B for CY 2010 has been posted in http://www.federalregister.gov/OFRUpload/OFRData/2009-26502_PI.pdf

Zip code look up to specific Carrier Locality http://www.cms.hhs.gov/FeeScheduleGenInfo/
2010 Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule for all States has been posted @
http://www.cms.hhs.gov/DMEPOSFeeSched/LSDMEPOSFEE/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=3&sortOrder=descending&itemID=CMS1231049&intNumPerPage=10
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Medicare physician fee schedule - Quick overview

Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
covered services and their payment rates. Physicians’ services include the following:

* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.


Medicare Physician Fee Schedule Payment Rates

Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)


Medicare Physician Fee Schedule Payment Rates Formula


The Medicare PFS payment rates formula is shown below:

[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF

Medicare fee schedule download