decisionhealth Newsletters, Part B News - 2015 Issue 1 (January)
2015 predictions: ICD-10 will start, meaningful use will stall, PQRS won’t stick
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Article Overview
This article summarizes industry predictions about several policy and reimbursement programs affecting physician practices in 2015. It covers anticipated timing and readiness issues, reporting and attestation trends, vendor and workflow responses, audit risk, and broader practice-finance strategies. The piece is aimed at coding professionals, practice managers, compliance staff, and clinicians tracking federal program changes.
Why This Topic Matters
These predicted shifts affect compliance workload, reimbursement, audit exposure, and operational planning for physician practices. Readers can use the article to understand which program areas were expected to demand the most attention and where implementation risk was considered highest.
Article Sections
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ICD-10
Discussion of anticipated implementation timing, readiness concerns, and the expected early impact on physician practices and testing efforts.
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Meaningful use
Predictions about attestation activity, program participation, possible delays or exceptions, and related federal policy developments.
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PQRS
Coverage of reporting participation, compliance challenges, expected penalties, and the role of vendors and registries in supporting reporting workflows.
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CCM
Forecasts about adoption of chronic care management billing, related operational barriers, technology support, and comparisons with other care management services.
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Permanent SGR fix
Predictions regarding congressional action on Medicare payment fixes and the possibility of additional related requirements.
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Audits
Expectations for increased audit activity tied to federal programs, coding utilization, and practice compliance issues.
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New revenue
Speculation about practice-service diversification as a response to reimbursement pressure and changing payment conditions.
What You Will Learn
- Which major policy and reimbursement areas were expected to be most important in 2015
- How industry observers viewed readiness, adoption, and compliance trends
- What types of operational and audit pressures practices were expected to face
- How vendors and practices were anticipated to respond to program changes
Who Should Read This
- Physician practices
- Medical coders
- Compliance professionals
- Practice managers
- Health IT vendors
- Clinicians
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