ED Coding & Reimbursement Alert - 2017 Issue 22
Who Were the Winners and Losers in the 2018 Medicare Physician Fee Schedule?
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Article Overview
This article summarizes the 2018 Medicare Physician Fee Schedule and its expected effects on Medicare reimbursement across provider groups. It explains the overall direction of payment changes, discusses how CMS updates and the annual conversion factor influence fees, and highlights which specialties and practice areas were expected to fare better or worse. The piece is aimed at clinicians, coding professionals, billing staff, and practice administrators who want a high-level view of year-over-year Medicare payment changes and the policy context behind them.
Why This Topic Matters
Understanding annual MPFS updates helps practices anticipate reimbursement shifts, review specialty-level impact, and prepare for changes tied to CMS payment policy and fee calculations.
Article Sections
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Look at the Conversion Factor
Explains the annual Medicare payment update at a high level and describes how the conversion factor relates to physician fee calculation.
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Who Came Out Ahead and Who Fell Behind
Summarizes broad specialty and practice-area impacts expected under the 2018 Medicare Physician Fee Schedule final rule.
What You Will Learn
- How the 2018 Medicare Physician Fee Schedule changed the overall payment landscape
- Why the annual conversion factor matters for Medicare reimbursement
- Which broad provider groups were expected to see relatively better or worse payment changes
- How CMS and related policy updates influenced the 2018 payment environment
- Where to look up Medicare fee information and reimbursement estimates
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Physicians
- Clinical social workers
- Behavioral health specialists
Codes Discussed
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