decisionhealth Newsletters, Coder Pink Sheets - 2020 Issue 8 (August)
ACOG warns of quality, cost losses ahead of planned 2021 E/M changes
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Article Overview
This article covers ACOG’s concerns about planned 2021 E/M office visit changes, including how they may affect obstetric maternity bundles, Medicare reimbursement, and downstream payer behavior. It is relevant to OB-GYNs, medical coders, billing professionals, and policy readers tracking CMS fee schedule updates and specialty society advocacy.
Why This Topic Matters
The article explains why a broad E/M reimbursement update may affect maternity care differently from standalone office visits and why that distinction matters for obstetric practices, payer contracting, and access to care.
Article Sections
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ACOG’s concerns about the 2021 E/M changes
Overview of ACOG’s meeting with CMS and the organization’s concerns about the planned changes to office visit payment and maternal care access.
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Medicare, Medicaid, and budget neutrality effects
Discussion of how the policy may affect Medicare payment patterns, broader payer behavior, and potential implications for Medicaid-supported obstetric care.
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Global maternity bundles and fee schedule impact
Explanation of the article’s focus on maternity bundles, fee schedule adjustments, and the comparison of projected payment levels across years.
What You Will Learn
- How ACOG is framing the impact of planned E/M payment changes
- Why obstetric services are discussed separately from standalone office visits
- What types of policy and fee schedule issues are being tracked by CMS and stakeholder groups
- How the article connects Medicare reimbursement changes to broader payer and access concerns
Who Should Read This
- OB-GYNs
- Obstetric practice managers
- Medical coders
- Medical billers
- Health policy analysts
- Revenue cycle professionals
Codes Discussed
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