tci Medicare Compliance & Reimbursement - 2017 Issue 14
Medicare Statistics: How Will the MPFS Proposed Changes Impact Your CY 2018 Pay?
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Article Overview
This article explains the proposed CY 2018 Medicare Physician Fee Schedule update, including the broader payment outlook, specialty-level impact estimates, and the role of relative value units in determining payment differences by setting and locality. It is intended for coders, billers, practice managers, and clinicians who want a high-level view of how proposed CMS changes may affect Medicare reimbursement and why individual code-level analysis still matters.
Why This Topic Matters
The piece helps readers gauge whether proposed Medicare payment changes could increase or reduce revenue for their practice and highlights why specialty mix, code mix, and site-of-service factors can alter the overall effect. It is useful for early planning before final rule implementation.
Article Sections
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Background
Introduces the CMS proposed Medicare Physician Fee Schedule changes for CY 2018 and the overall payment environment. Summarizes the general context for the policy update and expected reimbursement movement.
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Will You Be Ahead of the Pack?
Reviews which specialties are projected to see the largest estimated changes under the proposal. Discusses how the article presents specialty-level impact calculations and the factors behind those estimates.
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Consider This Insight on Relative Value Units
Explains the general structure of RVU-based payment under the Medicare Physician Fee Schedule, including differences by setting and locality. Covers how the article frames the components that contribute to payment calculations.
What You Will Learn
- How the proposed CY 2018 Medicare Physician Fee Schedule affects overall reimbursement trends
- Why specialty-level impact estimates may differ from the headline payment update
- How relative value units contribute to Medicare payment calculation concepts
- Why site of service and geographic locality can affect Medicare fee estimates
- Where to find Medicare reimbursement information for specific procedures
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Physicians
- Healthcare administrators
- Revenue cycle staff
Codes Discussed
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