Physicians Face Medicare Participation Decisions

With no SGR fix, many may find Medicare participation a difficult option

Matthew Twetten

Last-minute deals are common in Washington, D.C.; the most recent involved reopening the government after a 16-day partial shutdown and raising the debt ceiling until after the holidays. With those two issues out of the way, Congress can get back to addressing the myriad other issues it faces, including what to do about the Sustainable Growth Rate (SGR) factor. Unless Congress acts before the end of the year, physicians face a 24.4 percent cut in the Medicare physician payment conversion factor on Jan. 1, 2014. In addition, the Centers for Medicare & Medicaid Services (CMS) has yet to announce relative value units (RVUs) for many orthopaedic procedures for 2014, which could greatly affect payments to orthopaedic surgeons.

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