December 17, 2014
Area(s) of Interest:
Payor Issues and Reimbursement Public Payors
Each year, the Centers for Medicare and Medicaid Services reviews and determines what changes are needed for deductibles, premiums and other Medicare program limitations. The table below illustrates benefit changes from 2014 to 2015:
|
Category
|
2014
|
2015
|
| Part A deductible |
$1,216 |
$1,260 |
| Part B deductible |
$147 |
$147 |
| Co-insurance |
20% |
20% |
| Annual physical therapy/speech pathology limit |
$1,920 |
$1,940 |
| Annual occupational therapy limit |
$1,920 |
$1,940 |
| Amount in controversy for ALJ hearing |
$140 |
$150 |
| Amount in controversy for judicial review |
$1,430 |
$1,460 |
The Medicare Physician Fee Schedule for January through March 31, 2015, has been posted to the Noridian website. Changes in Relative Value Units (RVU) for malpractice, work values, geographic practice index values and others may have an impact on the amount paid. Please check the updated fee schedule for any changes.
Changes necessitated by legislative decisions made during the first quarter of 2015 will be posted as they become available.