decisionhealth Newsletters, Part B News - 2022 Issue 8 (August)
At top and bottom of 2023 fee changes, some big hits, soft landings
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Article Overview
This piece analyzes proposed 2023 Medicare physician fee schedule changes with a focus on how conversion factor and RVU updates affect selected Part B procedure and E/M services. It is useful for physicians, coders, and reimbursement staff who want a high-level view of which services are poised for notable payment gains or losses and why the changes matter operationally. The article also flags services frequently billed with modifier 26 and discusses how volume can influence the practical significance of payment shifts.
Why This Topic Matters
Payment changes under the Medicare physician fee schedule can affect reimbursement, service mix, and financial planning for high-volume specialties and practices. Understanding which services move most helps stakeholders prioritize review of proposed fee updates and their impact on commonly billed procedures.
What You Will Learn
- How proposed 2023 Medicare physician fee schedule changes affect Part B procedure and E/M services
- How relative value unit changes can create notable payment winners and losers
- Which categories of services are discussed as having the largest payment shifts
- Why volume can make smaller per-service changes important
- How modifier 26-related services are affected in the article's discussion
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice administrators
Codes Discussed
Modifiers Discussed
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