What’s New in 2016: Fees, Codes and More – Review of Ophthalmology

There are no new ICD-10 codes at this time, but there are plenty of other changes to codes and reimbursements to know about.

This article addresses the following questions:

  • Is the 2016 Medicare Physician Fee Schedule favorable for ophthalmology?
  • What type of relative value unit changes occurred on January 1, 2016?
  • What is the target recapture?
  • What happened with ambulatory surgery center facility fees in 2016?  
  • Did hospital outpatient department rates increase similarly to ASC facility rates?  
  • Were there any Category III code changes published in 2016?
  • What changes were published with Category I codes in CPT 2016?
  • Were there any changes to diagnosis codes or issues with the implementation of ICD-10?
  • What types of regulatory issues were identified in the annual Office of Inspector General’s Work Plan as areas of concern for ophthalmology in 2016?
  • Are there penalties and/or bonus dollars for participation in the Physician Quality Reporting System in 2016?
  • Are there any major changes to PQRS reporting requirements in 2016?
  • Are there continued penalties for those without electronic health records or those that fail to successfully report meaningful use?
  • What Medicare Part B changes affect beneficiaries in 2016 from a cost perspective?

This article was published in Review of Ophthalmology’s Medicare Q & A column, which is written by Corcoran’s Vice-President, Donna McCune, CCS-P, COE, CPMA. To view the entire article in Review of Ophthalmology, click on the link below:


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