Medicare Participation Kit
Each year physicians have the option of modifying their status with Medicare during Medicare's open enrollment period. The decision period for physicians to change their Participation status has started. Because the release of the 2014 Medicare physician fee schedule was delayed this year, the deadline for physicians to change from Participating to Non-participating, or vice versa, has been extended to Jan. 31, 2014.
Unless Congress passes physician payment reform legislation this year, effective Jan. 1, 2014, Medicare physician payment rates will be cut across the board by about 24 percent. The AMA’s Fix Medicare Now campaign aims to secure repeal of the formula that leads to this annual threat of steep pay cuts. With such steep cuts on the horizon, however, physicians may want to review their options before the deadline.
- Participating (often referred to as "PAR")
- Non-participating (referred to as "non-PAR")
- Private contracting
Whether or not a physician is thinking about modifying their status, it is important to understand the options. Physicians can use the AMA's Medicare Participation Kit to help them evaluate their participation options and choose the direction that is suitable for their practice. The kit contains a detailed explanation of physician options, a calculator and various sample materials for communicating with patients.
Medicare Revenue Calculator
|The Medicare payment calculator will help you estimate how much your total revenues from Medicare patients would change if you switch your status from Medicare participation (PAR) to non-participation (non-PAR).|