decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 8 (August)
Medicare proposes eliminating payments for consultation codes
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Article Overview
This article explains a proposed Medicare physician fee schedule change affecting consultation and evaluation and management payment policy. It is aimed at coders, billers, compliance staff, and physicians who need to understand the general scope of the proposal, the specialties potentially affected, and CMS’s stated reasons for revisiting consultation reimbursement. The article also summarizes the broader reimbursement context and reactions from coding and practice management professionals.
Why This Topic Matters
The proposal could change how consultation and other E/M services are paid under Medicare, affecting reimbursement, documentation workflows, and specialty-specific revenue planning. It is relevant to anyone tracking federal payment policy and its operational impact on medical practices.
What You Will Learn
- The general focus of the proposed Medicare payment change
- Which broad service categories and specialties are discussed as potentially affected
- The policy reasons CMS gives for revisiting consultation reimbursement
- How the proposal fits into the larger Medicare physician fee schedule context
- How coders and practice managers are reacting to the proposal
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Physicians
- Practice managers
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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