CMS has published 2017 updates for the Physician and Hospital Fee Schedule, RBRVS and the Hospital Outpatient Prospective Payment System. Experian Health will ensure that your Medicare contract records will be updated and available in Contract Manager, Contract Analysis, Patient Responsibility Pricer, Patient Estimates and Claim Scrubber by Jan. 1, 2017.
Effective Jan. 1, 2017, valuations for Contract Manager, Patient Responsibility Pricer, Patient Estimates and Claim Scrubber will begin with the new physician conversion factor of $35.8887, a hospital conversion factor of $35.8887 and a national anesthesia conversion factor of $22.0454. In addition, valuations for Contract Manager for Hospitals and Health Systems will use the latest published wage indices, APC weights and rates and fee schedules once the grouper is received and loaded from 3M. This upload is tentatively scheduled for Jan. 12, 2017.
As always, Experian Health will continue to monitor for any subsequent changes published by CMS and update accordingly.
Thank you for your continued partnership and business. On behalf of all Experian Health associates, we wish you and your organization a wonderful holiday season.
Experian Health Client Support