2016 predictions: Use of ACP codes lags, docs struggle with quality reporting and more

Why This Topic Matters

The article helps readers gauge which federal payment and reporting initiatives were expected to shape practice revenue, workflow, and compliance efforts in 2016 and beyond. It is useful for determining whether a full read is relevant to organizations tracking Medicare policy, quality programs, and reimbursement strategy.

Article Sections

1. Predictions round-up

   Introductory overview of the article’s forecast format and the range of practice topics being addressed.

2. Advance care planning

   Predictions about adoption barriers, operational challenges, and broader provider response to a newer billing opportunity tied to patient conversations and training considerations.

3. Quality reporting

   Forecasts about quality-reporting programs, provider awareness, implementation pressure, and downstream effects on reimbursement and payer behavior.

4. Meaningful use, EHR

   Expected changes in electronic health record use and reporting participation, along with program timing, hardship exceptions, and vendor-driven product development.

5. Alternative payment models

   Predictions about movement toward alternative payment arrangements, organizational readiness, and the financial and operational challenges tied to these models.

6. New revenue

   Discussion of anticipated responses to reimbursement pressure, including value-based contracting and broader shifts in physician payment strategy.

7. Bonus prediction for 2017: CMS will unveil at least four new E/M codes to capture physician’s work

   A forward-looking note about possible future coding and reimbursement changes related to physician work, cognitive effort, and care coordination.