Medicare Compliance & Reimbursement - 2017 Issue 9
Part B Statistics: Will Your Medicare Payments Go Up for CY 2018? Find Out Here
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Article Overview
This article reviews proposed Medicare Physician Fee Schedule changes for calendar year 2018 and discusses the estimated impact on Part B payments across specialties. It explains the general role of relative value units, conversion factors, site-of-service differences, and geographic adjustments in Medicare reimbursement. The piece is aimed at providers, billing staff, and coding professionals who want to understand how broad payment updates and code revaluations may affect practice revenue.
Why This Topic Matters
Understanding proposed fee schedule changes helps practices gauge whether their Medicare reimbursement is likely to rise or fall and where payment shifts may occur. The article is useful for budget planning, specialty benchmarking, and high-level review of code-level payment impact.
Article Sections
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Background
Introduces the 2018 Medicare Physician Fee Schedule proposal and the general context for anticipated payment changes under Medicare Part B.
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Will You Be Ahead of the Pack?
Summarizes estimated specialty-level payment impact trends and identifies which provider groups are expected to see larger increases or decreases.
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Consider This Insight on Relative Value Units
Explains the broad components that affect Medicare payment calculations, including site-of-service differences and geographic adjustment concepts.
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Non-facility calculations
Describes the general process used to estimate Medicare reimbursement in a non-facility setting and references the conversion factor used for the year discussed.
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Status quo
Closes with a high-level summary of the overall expected impact on most providers and notes that final rule changes may still alter results.
What You Will Learn
- How proposed Medicare Part B payment updates are framed for CY 2018
- What broad factors influence relative value-based reimbursement calculations
- How specialty-level estimates can differ from overall payment trends
- Why site of service and geographic adjustment concepts matter in payment analysis
- Where to look for national or local Medicare reimbursement information
Who Should Read This
- Physicians
- Billing and coding professionals
- Practice managers
- Revenue cycle staff
- Clinical social workers
- Diagnostic testing facilities
Codes Discussed
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