Reimbursement: Know These 5 Important Dates to Keep Medicare Pay on Target

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews several Medicare reimbursement milestones and administrative changes that practices needed to track for 2017 and 2018. It is aimed at providers, billing staff, and revenue cycle teams that monitor CMS deadlines, payment program updates, and operational changes tied to Medicare claims and enrollment. The coverage includes quality reporting timing, virtual group participation timing, annual CPT and fee schedule updates, CMS form changes, and the Medicare beneficiary number transition.

Why This Topic Matters

Missing these dates or updates could affect Medicare reporting, billing readiness, administrative compliance, and payment operations. The article helps organizations identify which CMS-driven changes required preparation across coding, reporting, forms, and systems.

Article Sections

  1. QPP 2017 Transition Hardship Deadline

    Discusses a Medicare quality reporting hardship application deadline tied to the 2017 transition year and CMS circumstances affecting reporting. Covers the related QPP and MIPS context and the timing of the submission window.

  2. QPP 2018 Virtual Groups

    Reviews the virtual group participation option for small practices under the quality reporting program. Describes the election timing and the general information required for participation.

  3. CPT® Code Options and Revaluations

    Summarizes annual Medicare payment update timing, including CPT code changes, physician fee schedule updates, and conversion factor adjustments for the new year.

  4. New CMS-855 Form Requirement for Provider EFTs

    Covers changes to the provider electronic funds transfer authorization form and the date it became required. Includes the administrative focus of the revised form for provider and supplier EFT information.

  5. Medicare Card and Number Transition

    Explains the rollout of the new Medicare beneficiary number transition and related system readiness considerations. Discusses the broader operational impact on patient identifiers, claims processing, and transition timing.

What You Will Learn

  • Which Medicare reimbursement deadlines and operational dates were highlighted for providers
  • How CMS quality reporting timing affected 2017 and 2018 program participation
  • What categories of annual coding and fee schedule updates were scheduled for the new year
  • How provider EFT form changes and Medicare card transitions affected practice operations
  • What organizations and CMS program areas were involved in the reported updates

Who Should Read This

  • Medicare providers
  • Billing and coding professionals
  • Revenue cycle staff
  • Practice administrators
  • Compliance staff

Codes Discussed

  • CPT: 99213

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