Proposed 2017 Medicare fee schedule: Orthopedists see fee shifts caused by RVU changes, new global period focus

Why This Topic Matters

Orthopedic practices may see changes in reimbursement, reporting obligations, and audit focus tied to the proposed Medicare rule. Understanding the scope of the proposal helps practices prepare for changes affecting surgical services, imaging, and sedation-related coding.

Article Sections

1. Payment and fee schedule changes

   Overview of proposed Medicare physician fee schedule changes affecting orthopedic reimbursement and selected service categories. Includes discussion of broad payment shifts and benchmark procedure types.

2. Conversion factor and policy adjustments

   Summary of the proposed conversion factor update and the policy components cited as contributing to the overall fee schedule impact. Discusses broader Medicare payment methodology changes.

3. Global period reporting and potentially misvalued codes

   Focuses on proposed changes related to global period services, claims-based reporting, and code review efforts. Addresses the categories of services CMS intends to scrutinize.

4. Imaging technical component and multiple procedure payment reduction

   Covers proposed Medicare adjustments affecting imaging services, including technical component policies and the multiple procedure payment reduction. Also notes timing and related legislative direction.

5. Moderate sedation overhaul

   Describes the planned changes to valuation and payment structure for services involving moderate sedation. References coordination with CPT and related code updates.