tci Medicare Compliance & Reimbursement - 2015 Issue 18
Physician Fee Schedule: Pay Attention to Other Key Issues in Physician Fee Schedule Proposed Rule
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Article Overview
This article summarizes major proposals in the 2016 Medicare Physician Fee Schedule rule beyond advance care planning payment. It is aimed at physicians, coders, and practice leaders who follow Medicare policy, payment methodology, and quality-reporting programs. The discussion focuses on broad changes tied to MACRA, MIPS, primary care payment accuracy, the value-based payment modifier, the Physician Quality Reporting System, and other fee schedule updates.
Why This Topic Matters
The proposed rule touches several Medicare payment and quality programs that can affect physician reimbursement and reporting workflows. Readers who track federal payment policy need a high-level view of the rule’s scope and the categories of changes CMS is considering.
What You Will Learn
- The major policy areas addressed in the 2016 Medicare Physician Fee Schedule proposed rule
- How the proposed rule fits into broader Medicare movement toward quality-based payment
- Which Medicare payment and reporting programs are highlighted as changing or being updated
- Why the rule is relevant to primary care, care management, and physician payment policy
Who Should Read This
- Physicians
- Medical coders
- Practice managers
- Revenue cycle staff
- Compliance professionals
- Healthcare administrators
- Medicare policy followers
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