tci Medicare Compliance & Reimbursement - 2016 Issue 15
Reimbursement: Good News: Look for Pay Boosts in 4 Primary Care Areas
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Article Overview
This article explains a CMS proposed rule for the 2017 Physician Fee Schedule and highlights the main areas expected to affect Medicare reimbursement and practice operations. It is relevant to physicians, practice managers, coders, and reimbursement professionals who need a broad view of proposed payment updates, new service categories, and related Medicare policy changes across primary care and other specialties.
Why This Topic Matters
The article matters because it summarizes proposed Medicare payment policy changes that could affect primary care reimbursement, practice workflow, and coverage of emerging service types. It also places the proposals in the context of broader CMS initiatives affecting care coordination, behavioral health, telehealth, and value-based payment.
Article Sections
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Chronic Care Management & Care Coordination Get Increases
Discusses proposed updates related to chronic care management, care coordination, and administrative burden reduction under the Physician Fee Schedule.
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Mental & Behavioral Health Model Could Expand
Covers proposed payment changes for behavioral health integration and team-based care models within primary care settings.
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Enjoy More Pay for Cognitive Impairment Assessment & Care Planning
Summarizes proposed coverage and payment updates for assessment and care planning services tied to cognitive impairment.
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CMS Looks at Care for Patients with Mobility Problems
Addresses proposed payment updates intended to better reflect services for beneficiaries with mobility-related impairments.
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Pay Attention to 10 Other Areas
Outlines additional proposed Medicare payment and policy changes across quality programs, telehealth, imaging, procedural valuation, and practice payment methodology.
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Understand CMS’ Underlying Strategies
Describes CMS’s broader primary care strategy and the policy goals behind the proposed changes.
What You Will Learn
- The main payment and policy themes in the CMS 2017 Physician Fee Schedule proposed rule
- Which broad areas of primary care and behavioral health are targeted for proposed reimbursement changes
- How the article frames additional Medicare program updates beyond primary care payment
- What broader CMS strategy the article says is driving these proposals
Who Should Read This
- Physicians and clinicians
- Medical coders and billing staff
- Practice managers
- Reimbursement and revenue cycle professionals
- Health policy readers
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