The American Medical Association has issued a strong criticism of the proposed 2014 Medicare physician-fee schedule, and also fired back against attacks on its widely criticized Medicare physician payment advisory panel.
In its summary of the proposed fee schedule, the AMA accused the CMS of proposing “an arbitrary new policy” that would lower payment for more than 200 services that Medicare pays more for when the service is provided in a doctor's office and less when it's performed in a hospital outpatient department or ambulatory surgery center.
“The AMA will aggressively oppose this proposal and seek to delay implementation until the RUC can review these codes,” the AMA said.
In the proposed fee schedule, the CMS proposed that, starting in 2015, it would pay for care-management activities that don't involve face-to-face contact for patients with multiple chronic conditions.
The AMA gave credit to “the ongoing efforts” of the Specialty Society Relative Value Scale Update Committee, commonly known as the RUC, and the AMA Current Procedural Terminology Editorial Panel for convincing the CMS that current evaluation and management codes “do not adequately capture the costs of providing care to all Medicare patients.” It goes on to say that the CPT panel and the RUC will work with the CMS to “discourage overly burdensome requirements and to ensure that all the necessary resources are captured in the payment.”