decisionhealth Newsletters, Coder Pink Sheets - 2018 Issue 2 (February)
Practices will adopt new codes slowly, MIPS competition will be fierce and more
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Article Overview
This article reviews survey-based predictions about how physician practices may respond in 2018 to new Medicare preventive and behavioral health coding opportunities, changing MIPS participation patterns, and broader discussion about future MIPS policy. It is aimed at physicians, practice managers, coders, and billing professionals who want to understand the likely operational and reporting issues shaping the year.
Why This Topic Matters
The piece helps readers gauge likely uptake of new reporting options, anticipate competition in MIPS performance, and monitor emerging policy debate that could affect Medicare payment strategy and practice workflow.
Article Sections
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Prediction: New codes will see a slow adoption rate
Covers survey findings and expert commentary about expected uptake of newly introduced Medicare preventive and behavioral health reporting options. It also discusses practice awareness, billing patterns, and implementation challenges at a high level.
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Prediction: You’ll face a highly competitive environment for MIPS bonuses
Summarizes expected MIPS participation trends in 2018, including survey responses from practices of different sizes and expert views on performance goals. The section focuses on competition, reporting intensity, and the broader Quality Payment Program context.
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Prediction: Calls for widespread changes to the MIPS program will grow next year — but MIPS will persist in 2019
Reviews anticipated policy debate around MIPS, including criticism from organizations and concerns about the evolving cost component. It addresses possible reform pressure and continued program presence in the following year.
What You Will Learn
- How survey respondents and experts expect practices to respond to new Medicare reporting options in 2018
- What factors may make MIPS participation more competitive during the year
- Why policy discussions around MIPS reform and cost scoring are expected to increase
- How practice size and prior reporting experience may influence MIPS readiness at a broad level
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance teams
Codes Discussed
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