decisionhealth Newsletters, Coder Pink Sheets - 2022 Issue 7 (July)
Ortho code proposed gainers and losers in 2023
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Article Overview
This article summarizes orthopedic and related procedure codes that DecisionHealth identified as likely to see payment increases or decreases under CMS’s proposed 2023 Medicare physician fee schedule. It is aimed at coders, billers, and orthopedic practice staff who track fee schedule updates and relative value changes across office and facility settings. The article presents grouped tables of affected services and compares proposed and prior-year payment patterns using CMS data.
Why This Topic Matters
Fee schedule proposals can affect budgeting, coding workflow awareness, and revenue planning for orthopedic practices. Readers can quickly see which procedure categories are being discussed and where proposed payment movement may be concentrated.
Article Sections
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Non-facility (office) Gainers
An overview of orthopedic and related services identified as likely to have higher proposed payment in the office setting under the 2023 Medicare fee schedule.
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Gainers in a Facility
A grouped list of services discussed as likely to have higher proposed payment when performed in a facility setting.
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Biggest losers in a non-facility (office) setting
A grouped summary of services discussed as likely to have lower proposed payment in the office setting.
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Biggest losers in a facility setting
A grouped summary of services discussed as likely to have lower proposed payment in a facility setting.
What You Will Learn
- How the article organizes proposed Medicare fee schedule changes for orthopedic-related services.
- Which broad service categories are discussed as potential payment gainers or losers.
- How the article compares office and facility settings in summarizing proposed payment movement.
- What types of CMS data and fee schedule context the article uses to frame the analysis.
Who Should Read This
- Orthopedic coders
- Medical billers
- Revenue cycle staff
- Practice managers
- Physician fee schedule analysts
Codes Discussed
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