decisionhealth Newsletters, Part B News - 2016 Issue 11 (November)
Online only: Pay cuts, misvalued codes, policy changes and more in final 2017 fee schedule
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Article Overview
This article summarizes selected provisions from the final 2017 Medicare physician fee schedule and related CMS guidance. It is aimed at physicians, coders, billers, and practice managers who need a broad view of reimbursement changes, coding-related updates, and reporting policy items affecting 2017 operations. The coverage includes payment adjustments, revaluation activities, geographic and practice expense updates, therapy and facility-related notes, and quality reporting considerations.
Why This Topic Matters
The final fee schedule can affect reimbursement, reporting workflows, and compliance planning across multiple specialties and care settings. Understanding the scope of these changes helps practices identify areas that may require coding, billing, or operational review for the new year.
Article Sections
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Fee schedule round-up
A high-level overview of selected payment, policy, and quality reporting items from the final 2017 Medicare physician fee schedule.
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Payment changes
A summary of payment-related updates affecting imaging, misvalued services, geographic adjustments, practice expense methodology, therapy caps, and several procedure categories.
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Policy changes
A review of administrative and coverage-related policy updates involving supervision, recoupment notification, care management services, diabetes education, and imaging-related criteria.
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Quality reporting notes
Notes on quality reporting and performance-based payment adjustments, including value-based modifier results and reporting options for certain participants.
What You Will Learn
- Which broad categories of Medicare payment changes are highlighted for 2017
- What types of policy updates CMS finalized in the fee schedule rule
- How the article frames changes affecting therapy, imaging, geographic adjustments, and practice expense
- Which quality reporting topics are tied to the 2017 final rule
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Practice managers
- Compliance professionals
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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