Behind the Numbers: Find Out How the MPFS Proposal Could Impact Your Pay

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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 the 2018 Medicare Physician Fee Schedule proposal and summarizes the projected payment impact discussed by CMS for different specialties and service categories. It is intended for physicians, practice managers, coders, and billing professionals who want a high-level view of how the proposed update could affect reimbursement and why the estimates should be evaluated in the context of a practice’s own common services.

Why This Topic Matters

The piece helps readers understand that an overall fee schedule update can differ from the payment impact experienced by an individual specialty or practice. That distinction is important for financial planning, benchmarking, and monitoring proposed CMS policy changes.

Article Sections

  1. Are fees going up or down?

    Introduces the proposed fee schedule update and frames the article’s focus on projected payment direction and specialty-level variation. It also references broader CMS payment and quality policy changes in the Medicare Physician Fee Schedule proposal.

  2. Fact sheet suggests payment boost

    Summarizes CMS’s overall proposed update and discusses the difference between an aggregate payment change and the effect on individual practices. The section emphasizes the need to review practice-specific service mix when evaluating the proposal.

  3. Will You Be Ahead of the Pack?

    Highlights the estimated payment impact for selected specialty groups and compares those projected changes across different provider categories. It closes with a forward-looking note about ongoing CMS fee schedule developments.

What You Will Learn

  • The general purpose of the 2018 Medicare Physician Fee Schedule proposal
  • How CMS presents overall versus specialty-level payment impact estimates
  • Which types of specialties and practice settings are discussed in the estimated impact summary
  • Why practice-specific service volume matters when assessing proposed reimbursement changes

Who Should Read This

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

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