decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 8 (August)
Outpatient proposed rule: Outpatient hospitals wouldn’t have to code E/M visit levels in CMS proposal
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Article Overview
This article covers a CMS proposed change to hospital outpatient payment policy that would alter how certain evaluation and management visits are handled for facility reimbursement. It explains the broad purpose of the proposal, the setting it affects, and the general categories of visit coding and reporting involved. The article is relevant to hospital outpatient coders, compliance staff, revenue cycle teams, and others tracking Medicare outpatient payment changes.
Why This Topic Matters
The proposal could change outpatient facility reporting workflows and reduce the need to assign visit-level E/M codes for certain hospital outpatient encounters. It is important for organizations monitoring Medicare policy updates and their effects on outpatient documentation, coding processes, and payment structure.
What You Will Learn
- What CMS proposed for hospital outpatient visit reporting
- Which outpatient facility visit categories are implicated
- How the proposal is framed in relation to administrative burden and payment policy
- Which types of stakeholders may be affected by the change
Who Should Read This
- Hospital outpatient coders
- Revenue cycle professionals
- Compliance officers
- Health information management staff
- Medicare policy watchers
- Facility billing teams
Codes Discussed
Code Ranges Discussed
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