Get paid for more of providers’ ‘cognitive work’ with new E/M codes – in 2017

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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 Medicare’s 2016 proposal to create additional evaluation and management payment options tied to care coordination and other non-visit work. It is relevant to physicians, billing professionals, and practice leaders watching Medicare policy changes, because it discusses the general direction of reimbursement updates, the types of services under consideration, and the timing of expected implementation.

Why This Topic Matters

The piece highlights a potential new reimbursement stream for work that is often performed between visits but not separately paid today, making it important for practices that manage complex patients and chronic care. It also signals broader Medicare movement toward valuing coordinated care and related administrative/cognitive efforts.

Article Sections

  1. Medicare proposal for additional E/M payment options

    Introduces the planned reimbursement changes and the expected timing for future Medicare action. It frames the discussion around additional payment recognition for care coordination-related work.

  2. Examples of care coordination-related cognitive work

    Describes broad categories of non-visit work Medicare is considering and notes the types of activities mentioned in the article. It also includes discussion of comments from physician and industry representatives.

  3. Comment process and policy structure

    Summarizes the general framework Medicare described for any future add-on codes and the opportunity for stakeholders to submit comments. It also places the proposal in the context of broader reimbursement change.

What You Will Learn

  • How Medicare is approaching payment recognition for care coordination-related work
  • What kinds of non-visit services are being discussed in the policy proposal
  • How the proposal fits into wider changes in physician reimbursement
  • Why providers and practices are being encouraged to monitor forthcoming regulations

Who Should Read This

  • Physicians
  • Medical coders
  • Billing staff
  • Practice managers
  • Revenue cycle professionals
  • Healthcare administrators

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