IHCP to Cover Opioid Treatment in the ED
Emergency physicians who initiate and coordinate opioid treatment in the ED for Indiana Medicaid patients can begin billing for the service in July. READ MORE
Judge Orders Changes to the Independent Dispute Resolution Process
A February ruling by Judge Jeremy D. Kernodle in the U.S. District Court for the Eastern District of Texas found portions of the independent dispute resolution process, established by the Departments of Health and Human Services, Labor, and Treasury during last year’s surprise billing rulemaking, to be inconsistent with the No Surprises Act. READ MORE
New Workplace Violence Requirements from The Joint Commission
With violence in emergency departments on the rise, the American College of Emergency Physicians recently contributed to the development of new workplace violence requirements by The Joint Commission that went into effect for hospitals on January 1, 2022. READ MORE
No Surprises Act One Month In
On January 1, 2022, key provisions of the No Surprises Act (NSA) went into effect. At its core, the No Surprises Act seeks to protect patients from surprise bills generated by out-of-network emergency or air ambulance service providers, or other out-of-network (OON) services provided at in-network facilities. Here’s where we are one month in. READ MORE
Providing, Documenting, and Coding Medication Assisted Treatment in the ED
Emergency departments serve on the frontline of the fight against drug overdoses and opioid use disorder. While there have been several barriers to providing and billing for medication assisted treatment in the ED, many of those barriers have been reduced or eliminated. When emergency physicians do administer and/or prescribe MAT, here’s what they should document and code for their services. READ MORE
New Guidelines for Coding Split (or Shared) E/M Visits and Critical Care Services
In the final rule of the 2022 Medicare Physician Fee Schedule, CMS made several changes to their longstanding policies for split (or shared) evaluation and management (E/M) visits and Critical Care Services. Here’s an overview of the new policies, along with some documentation and coding suggestions.
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2022 Medicare Physician Fee Schedule: What Emergency Physicians Need to Know
The Centers for Medicare and Medicaid Services recently published the final rule of the Medicare Physician Fee Schedule for 2022. In addition to changing the payment rates for 2022, CMS also finalized changes to several payment policies. We’ve highlighted a few of the biggest for emergency physicians below. READ MORE
Physicians Face a 9.75% Medicare Pay Cut Unless Congress Intervenes
While physicians and other providers wait to see if the proposed 3.75 percent fee reductions make it into the final rule of the 2022 Medicare Physician Fee Schedule, two other looming cuts to Medicare payments have them facing down a 9.75 percent pay cut beginning January 1, 2022. READ MORE
MIPS Facility-Based Scoring Unavailable for 2021
MIPS eligible providers who qualify for the facility-based special status will not be able to rely on that reporting option for the 2021 performance year. READ MORE
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
