ED Coding & Reimbursement Alert - 2016 Issue 38
Part B Payment: Final MPFS Rule for CY 2017 Supports MACRA's Focus on Primary Care
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Article Overview
This article summarizes the finalized 2017 Medicare Physician Fee Schedule policies issued by CMS and explains how they align with MACRA’s emphasis on primary care and care coordination. It is relevant to physicians, coders, and revenue cycle staff who track Medicare Part B payment changes, telehealth expansions, chronic care management updates, and reporting changes tied to global services and prevention programs. The discussion covers the general direction of the policy changes and the major service areas affected.
Why This Topic Matters
The article helps readers understand which Medicare payment and reporting areas were revised for 2017 and why those changes matter for primary care, cognitive services, telehealth, and practice operations.
Article Sections
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Boost to Those That Provide Primary and Cognitive Care
Discusses CMS’s broader focus on primary care, cognitive care, and coordination-centered payment policy changes under the finalized rule.
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CMS Pledges Extra Pay for Non-Face-to-Face Prolonged E/Ms
Covers finalized policy updates related to prolonged evaluation and management services and the surrounding payment framework.
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Telehealth Expands with New Code Options
Summarizes the article’s overview of telehealth-related additions and the service categories included in the finalized Medicare policy changes.
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Global Services Data Collection See Revisions
Describes revisions to global services reporting and data collection requirements intended to reduce administrative burden.
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Diabetes Prevention Program Benefits Realized
Reviews the Medicare Diabetes Prevention Program’s expansion and the article’s discussion of its role in preventive care policy.
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AMA Weighs In
Summarizes the American Medical Association’s response to the finalized fee schedule rule and related policy direction.
What You Will Learn
- How the finalized 2017 Medicare Physician Fee Schedule aligns with MACRA priorities
- Which broad service areas were affected by payment and reporting updates
- How CMS framed changes involving primary care, coordination, telehealth, and prevention
- What categories of Medicare Part B policy changes were highlighted in the article
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice administrators
- Healthcare compliance staff
Codes Discussed
Code Ranges Discussed
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