decisionhealth Newsletters, Part B News - 2006 Issue 3 (March)
You could see big increases in most E/M services next year
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Article Overview
This article examines expected changes in Medicare reimbursement for evaluation-and-management services, with emphasis on the five-year review of work RVUs and the discussion among physicians, specialty societies, CMS, and the AMA RUC. It is relevant to coders, billers, practice managers, and physicians who track E/M valuation, relative value updates, and how proposed payment shifts may affect office visit reimbursement and the broader fee schedule.
Why This Topic Matters
Payment changes for heavily used E/M services can affect physician reimbursement, coding and documentation workflows, and budgeting across many specialties. The article also highlights the policy and committee process behind RVU recommendations, which matters to organizations following Medicare valuation updates.
What You Will Learn
- What the article says about proposed changes in Medicare payment for E/M services
- How the five-year RVU review process is discussed in relation to office visit valuation
- Which organizations and specialty groups are involved in the recommendation process
- Why the proposed valuation changes are viewed as significant by some physicians and contested by others
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physicians
- Compliance staff
- Revenue cycle professionals
Codes Discussed
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