Initial hospital fees take a dive, but subsequent visits spike

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains how proposed 2023 Medicare physician fee schedule updates affect inpatient hospital E/M facility visit reimbursement trends. It is aimed at coders, billers, revenue cycle staff, and compliance professionals who track physician fee schedule updates and the associated professional fee impacts. The discussion focuses on fee movement, work RVU changes, and the broader inpatient and observation visit code family.

Why This Topic Matters

Changes to physician fee schedule pricing can affect reimbursement forecasting, coding workflow, and financial planning for inpatient and observation E/M services. Understanding which hospital visit services are projected to rise or fall helps organizations prepare for annual payment updates.

What You Will Learn

  • Which inpatient hospital E/M fee trends are discussed for the upcoming payment year.
  • How proposed physician fee schedule updates can affect work RVUs and overall fees.
  • Why initial and subsequent hospital visit services are being discussed together in the context of Medicare payment changes.
  • What broad reimbursement changes are associated with inpatient and observation services.

Who Should Read This

  • Medical coders
  • Medical billers
  • Revenue cycle staff
  • Compliance professionals
  • Practice administrators
  • Hospital coding teams

Codes Discussed

Code Ranges Discussed


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