decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 8 (August)
Late breaking news: Proposed physician fee schedule previews new anesthesia codes, revised payments for pain procedures
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Article Overview
This article provides a high-level preview of selected changes in the proposed 2018 Medicare physician fee schedule. It is relevant to anesthesia, pain management, and medical billing professionals who track CMS payment updates, new procedure codes, RVU revisions, and documentation policy developments. The piece also notes upcoming patient relationship modifiers and broader evaluation and management documentation review efforts.
Why This Topic Matters
Professionals who code or bill anesthesia and pain procedures need to monitor proposed Medicare changes because fee schedule updates can affect code availability, relative value units, and claim reporting requirements. The article flags policy areas that may influence future documentation and reimbursement workflows.
Article Sections
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Medicare proposed 2018 physician fee schedule overview
Introduces the timing of the proposed rule and summarizes the scope of the update at a high level.
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Anesthesia and gastrointestinal procedure code changes
Reviews proposed changes affecting anesthesia-related procedure coding for gastrointestinal endoscopy services.
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Pain procedure payment updates
Summarizes proposed relative value changes affecting selected pain-related procedures.
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Conversion factors
Notes the projected Medicare conversion factors for different categories of physician services.
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History and physical exam under review
Describes CMS’s planned review of evaluation and management documentation requirements.
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Patient relationship modifiers
Highlights the introduction of new claim-reporting modifiers associated with patient relationship reporting.
What You Will Learn
- What areas of the proposed physician fee schedule are changing
- Which broad procedure categories are affected by new anesthesia code activity
- How the article frames proposed payment revisions for selected procedures
- What broader CMS documentation and claim-reporting topics are being previewed
Who Should Read This
- Anesthesiologists
- Pain management clinicians
- Medical coders
- Medical billers
- Revenue cycle staff
- Healthcare compliance professionals
Codes Discussed
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