Abstract
If we consider how physician services are compensated, much can be understood regarding business and practice trends over the recent decades. The bulk of physician services for Medicare patients are compensated through Medicare Part B and determined using submitted Current Procedural Terminology (CPT) codes. The situation is analogous for physician services provided for patients covered by Medicaid and private insurance. As such, the bulk of physician services are covered by relatively set payments per service provided, with the caveat that there be corresponding International Classification of Diseases (ICD) codes submitted to justify the provided service(s). This has led to a number of somewhat predictable trends.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Mitchell J. Linkages between utilization of prostate surgical pathology services and physician self-referral. Medicare Medicaid Res Rev. 2012;2(3). doi:http://dx.doi.org/10.5600/mmrr.002.03.a02.
Mitchell JM. Urologists’ self-referral for pathology of biopsy specimens linked to increased use and lower prostate cancer detection. Health Aff. 2012;31(4):741–749. doi:10.1377/hlthaff.2011.1372.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Talbert, M. (2016). Applying the Knowledge. In: Hassell, L., Talbert, M., Wood, J. (eds) Pathology Practice Management. Springer, Cham. https://doi.org/10.1007/978-3-319-22954-6_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-22954-6_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-22953-9
Online ISBN: 978-3-319-22954-6
eBook Packages: MedicineMedicine (R0)