The Centers for Medicare & Medicaid Services (CMS) designed the proposed changes to the Medicare Physician Fee Schedule to reduce paperwork and enable physicians to spend more time with patients. However, specialty physicians will see significantly lower reimbursements for their most complex patients under the new fee schedule. A recent article authored by TrustHCS and published by ICD-10 Monitor shines light on how the changes are poised to impact specialty physicians.
The proposed changes affect evaluation and management (E&M) coding for office and outpatient visits. CMS proposed changing the reimbursement schedule from five separate levels to two. Although the new reimbursements are higher for levels 1-3, they are lower for levels 4-5, which represent more complex cases commonly seen by specialty physicians.
To better understand how the E&M code changes could affect specialty physicians, check out the ICD-10 Monitor article by Nena Scott, MSEd, RHIA, CCS, CCS-P, CCDS, Director of Coding Quality and Professional Development at TrustHCS. Additional TrustHCS coding and CDI insights are also provided during our educational webinar series and archive of blog posts.