decisionhealth Newsletters, Part B News - 2017 Issue 11 (November)
2018 payment round-up: Eye exam, debridement codes gain dollars; immunizations fall sharply
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Article Overview
This article reviews 2018 payment updates for a small set of frequently billed professional and facility services, highlighting which broad service categories saw increases, which fell, and how the changes vary by setting. It is relevant to coders, billing staff, and revenue cycle teams who track annual fee schedule changes and want to understand where reimbursement movement may affect common office, eye care, wound care, and immunization-related services.
Why This Topic Matters
Annual payment changes can affect budgeting, charge capture review, and service-line profitability for commonly reported encounters. This summary helps readers quickly determine whether the article covers the code families and settings they need to monitor.
Article Sections
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Payment changes for frequently reported E/M services
Discusses year-over-year payment movement for commonly billed office and visit services in the non-facility setting.
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Higher-paying non-facility services
Covers a group of frequently reported eye care and debridement services that increased in payment in 2018.
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Immunization and facility-setting updates
Summarizes a decline for vaccine administration and notes selected facility-setting visit codes that changed for 2018.
What You Will Learn
- Which broad service categories are discussed in the 2018 payment update
- How the article distinguishes non-facility and facility payment changes
- Which areas of practice are most likely to be affected by the update
- What types of annual reimbursement trends the article highlights
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Practice managers
- Compliance teams
- Clinics and physician practices
Codes Discussed
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