E/M Coding Alert - 2017 Issue 9
Part B Payment: CMS Eases Up on Providers Weary of Medicare's Paper Trail in 2018
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Article Overview
This article summarizes proposed 2018 Medicare Physician Fee Schedule policy and payment changes that affect Medicare Part B providers. It is relevant to clinicians, billing and coding staff, revenue cycle teams, and compliance professionals who track CMS rulemaking affecting telehealth, prevention programs, outpatient payment adjustments, E/M documentation, and the transition to quality-based payment models. The discussion highlights broad categories of proposed guidance and administrative changes without replacing the full rulemaking text.
Why This Topic Matters
The article helps readers understand which areas of Medicare Part B reimbursement and reporting were being reshaped for 2018 and why those changes mattered for provider workflow, compliance, and payment planning.
Article Sections
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CMS 2018 Medicare Physician Fee Schedule proposals
Introduces the scope of the proposed policy, payment, and quality changes for the 2018 calendar year. Sets the context for the major Medicare Part B topics discussed in the article.
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Medicare Diabetes Prevention Program expansion
Discusses proposed changes related to the prevention program and supplier participation. Covers the broader CMS effort to expand services and refine program operations for 2018.
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Telehealth expansion
Summarizes proposed telehealth coverage additions and related claim-processing updates. Notes the general direction of CMS policy on virtual care services.
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Other takeaways
Reviews additional proposal areas that affect Medicare payment policy and coding administration. Includes outpatient payment adjustments, evaluation and management documentation topics, and MACRA-related updates.
What You Will Learn
- What areas of the 2018 Medicare Physician Fee Schedule proposal were emphasized
- How CMS was approaching telehealth and prevention-program expansion
- Which broader payment and reporting topics were being revised for Medicare Part B
- How the article frames the transition to quality-based reimbursement and related administrative changes
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle professionals
- Compliance teams
- Physicians and group practices
- Hospital outpatient and provider-based department administrators
Codes Discussed
Modifiers Discussed
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