decisionhealth Newsletters, Part B News - 2009 Issue 7 (July)
Benchmark of the Week: E/M payment growth from consult dollars
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Article Overview
This article explains a CMS proposal tied to the 2010 Physician Fee Schedule and summarizes how redistribution of consult-service dollars would affect evaluation and management payment levels. It is aimed at coders, billers, and reimbursement professionals who track E/M policy changes, specialty impacts, and annual fee schedule updates.
Why This Topic Matters
The piece helps readers understand a proposed reimbursement shift that could affect primary care and specialty payment patterns under the CMS fee schedule.
What You Will Learn
- How CMS proposed changes to E/M payment levels were framed in the 2010 fee schedule
- Why consult-service redistribution was expected to affect different specialties differently
- How budget neutrality was described in the context of the proposal
- What general factors were cited as influencing proposed payment changes in E/M services
Who Should Read This
- Medical coders
- Coding auditors
- Billing specialists
- Practice managers
- Physician reimbursement staff
- Primary care practices
- Specialty practices
Codes Discussed
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