Outpatient Facility Coding Alert - 2016 Issue 38
Who Were the Winners and Losers in the Medicare Physician Fee Schedule?
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Article Overview
This article summarizes a Medicare Physician Fee Schedule update for 2017 and explains the broader policy context influencing the fee schedule. It is aimed at readers who want a high-level view of estimated payment impacts by specialty, the role of CMS and MACRA-related policy direction, and the general significance of the annual fee schedule update.
Why This Topic Matters
The Medicare Physician Fee Schedule affects physician reimbursement and specialty-level payment patterns, so even small updates can influence planning, budgeting, and compliance awareness across practices and laboratories.
Article Sections
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Conversion Factor
Introduces the annual change in the conversion factor and frames it within the fee schedule update process.
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Rundown
Summarizes the broader CMS policy context shaping the 2017 fee schedule and its estimated effects on allowed charges.
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Who Came Out Ahead and Who Fell Behind
Describes the overall pattern of estimated specialty-level impacts and highlights which provider groups are most affected.
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Status quo
Notes that many providers are expected to see limited overall change while still experiencing effects from service and code revaluation.
What You Will Learn
- How the 2017 Medicare Physician Fee Schedule was framed in the article
- What broad policy factors were discussed in connection with CMS and MACRA
- How the article characterizes specialty-level impact patterns
- Why small annual fee schedule updates can still matter to practices and laboratories
Who Should Read This
- Physicians
- Medical practice administrators
- Medical billers and coders
- Healthcare compliance staff
- Laboratory administrators
- Revenue cycle professionals
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