Reimbursement: New Programs, Delays, and Reductions Feature in the 2018 Fee Schedule

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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 summarizes major changes in the CY 2018 Medicare Physician Fee Schedule final rule. It focuses on CMS policy updates affecting telehealth, quality reporting, payment program timing, and reimbursement adjustments, and is relevant to physicians, coders, billing staff, compliance teams, and healthcare administrators tracking Medicare payment policy.

Why This Topic Matters

The article helps readers understand how CMS’s 2018 fee schedule changes affect Medicare payment, reporting expectations, and program readiness across multiple care settings. It is especially relevant for organizations monitoring telehealth expansion, MACRA-related updates, and shifts in reimbursement policy.

Article Sections

  1. Background

    Introduces the CY 2018 Medicare Physician Fee Schedule final rule and places the update in the context of CMS’s broader quality- and value-based priorities.

  2. Don't Fret About Electronic Paperwork, CMS Says

    Discusses CMS efforts to reduce administrative burden and streamline reporting through a new initiative focused on practice requirements and workflow simplification.

  3. Telehealth Expands with New Code Options

    Covers telehealth-related policy changes, new service categories, and related billing and claim-processing updates included in the final rule.

  4. Consider These Other Important MPFS Updates

    Summarizes additional Medicare Physician Fee Schedule changes affecting diabetes prevention, evaluation and management policy, quality reporting, value-based adjustments, and related Medicare initiatives.

  5. OPPS Payment Cut Punishes Providers

    Addresses payment reductions for certain off-campus departments and the operational impact of those Medicare reimbursement changes.

What You Will Learn

  • What the CY 2018 Medicare Physician Fee Schedule final rule addresses
  • Which CMS initiatives were expanded, delayed, or revised
  • How telehealth and related Medicare billing updates were treated
  • What changed for quality reporting and value-based payment programs
  • How certain outpatient and off-campus payment policies were adjusted

Who Should Read This

  • Physicians
  • Medical coders
  • Billing staff
  • Revenue cycle teams
  • Compliance professionals
  • Practice managers
  • Healthcare administrators

Codes Discussed

  • HCPCS Level II: G0296
  • CPT: 90785
  • CPT: 96160
  • CPT: 96161
  • HCPCS Level II: G0506
  • CPT: 90839
  • CPT: 90840
  • CPT: 99091

Modifiers Discussed

  • HCPCS Level II: GT

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