Medical Billing Forum

Payments => Insurance Payments => : rdmoore2003 December 27, 2012, 07:20:04 PM

: 2013 medicare fee schedule
: rdmoore2003 December 27, 2012, 07:20:04 PM
A bit confused.....medicare fee schedule for psychological testing for 2013 is listed as $57.23.  How are they calculating what the patients % is going to be?
: Re: 2013 medicare fee schedule
: Michele January 03, 2013, 01:12:49 PM
Sorry, but I don't understand what you are asking.  You are saying that the allowed amount is $57.23 so are you wondering if they patient will be responsible for 20% after deductible or if there will be a psychiatric reduction?

: Re: 2013 medicare fee schedule
: PMRNC January 04, 2013, 02:29:08 PM
Remember that each year the psychiatric reduction is phasing down Coinsurance amount timeline is as follows: 45% in 2011, 40% in 2012, 35% in 2013, and finally in 2014 it’ll be 20%.
: Re: 2013 medicare fee schedule
: rdmoore2003 January 07, 2013, 11:51:17 AM
Remember that each year the psychiatric reduction is phasing down Coinsurance amount timeline is as follows: 45% in 2011, 40% in 2012, 35% in 2013, and finally in 2014 it’ll be 20%.


is it 35% of all charges from therapy to psychological testing?
: Re: 2013 medicare fee schedule
: PMRNC January 07, 2013, 05:15:39 PM
Yes, any services with medicare normally subject to the psychiatric reduction is now at 35% effective dates of service 1/1/2013