Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Coding

2022 Proposed Medicare Physician Fee Schedule: What Emergency Physicians Need to Know

The Centers for Medicare and Medicaid Services recently published the proposed draft of the Medicare Physician Fee Schedule for 2022. In addition to the annual conversion factor update, the Proposed Rule also recommends changes to several payment policies. We’ve highlighted a few of the biggest for emergency physicians below. READ MORE

2022 Proposed Medicare Physician Fee Schedule: What You Need to Know

The Centers for Medicare and Medicaid Services recently published the proposed draft of the Medicare Physician Fee Schedule for 2022. At the heart of the MPFS is the annual conversion factor update. After legislatively mandated adjustments, including the expiration of the 3.75 percent payment increase provided for CY 2021 by the Consolidated Appropriations Act, the 2022 conversion factor will be $33.58, a $1.31 (or 3.75 percent) decrease from the final CY 2021 PFS conversion factor of $34.89. READ MORE

CMS Releases Critical Care CBRs for Second Year in a Row

The Centers for Medicare and Medicaid Services is once again releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services. This time, they will be analyzing claims that occurred in part during the COVID-19 public health emergency, with dates of service from Jan. 1, 2020, through Dec. 31, 2020. READ MORE

Pre-Anesthesia Evaluation, Pre-Surgery History & Physical, and Separately Reported E/M Services: Know the Difference

While recent changes to office or other outpatient evaluation and management coding and billing guidelines may not affect anesthesiologists most of the time, there are instances when knowing the new rules will come in handy, especially with patients who have complex medical co-morbidities. READ MORE

Latest COVID-19 Relief Package: What Physicians Can Expect

An 11th-hour COVID-19 relief package was approved by both houses of Congress a few days before Christmas and signed into law by President Trump a few days after. The legislation, second in size only to the CARES Act passed last spring in the early days of the pandemic, provides wide-ranging relief to multiple sectors throughout the country, including physicians. READ MORE

2021 Medicare Physician Fee Schedule Final Rule: What You Need to Know

Earlier this month, CMS published the final rule of the 2021 Medicare Physician Fee Schedule. After legislatively mandated adjustments, the 2021 conversion factor will be $32.41, a 10 percent decrease from the 2020 PFS conversion factor. In addition to changing the payment rates for 2021, the Final Rule also makes changes to several payment policies. We’ve highlighted a few of the biggest changes. READ MORE

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