decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 1 (January)
2016 E/M fees: Some gain, some lose, some stay the same
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Article Overview
This article summarizes how the 2016 Medicare physician fee schedule affected payment rates for evaluation and management services. It is useful for physician practices, coders, and revenue cycle staff who want a high-level view of which service categories were relatively stable and which saw notable movement. The piece also touches on related payment changes for chronic care management and pediatric critical care transportation services, along with the broader fee schedule context.
Why This Topic Matters
Even small fee schedule shifts can affect budgeting, charge review, and reimbursement monitoring for high-volume E/M reporting. Understanding the general direction of these annual changes helps practices anticipate payment variability and review claims against current Medicare rates.
What You Will Learn
- How the 2016 Medicare physician fee schedule affected E/M payment trends in general
- Which broad service categories experienced increases, decreases, or relatively stable reimbursement
- How annual fee schedule updates can influence common physician billing lines
- The relationship between fee schedule changes and high-volume E/M reporting
Who Should Read This
- Physician practices
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice administrators
Codes Discussed
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