Proposed cuts to E/M office visits prove less harsh than other settings

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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 summarizes proposed 2022 Medicare physician fee schedule payment adjustments for evaluation and management office visit services, with attention to how projected changes differ between office and facility settings. It is aimed at coders, billing staff, and practice managers who track Medicare payment policy and want to understand the general scope of the proposed revisions affecting commonly billed outpatient E/M services.

Why This Topic Matters

Medicare payment changes can affect revenue planning, scheduling, and service mix for practices that bill evaluation and management services. Understanding the broad direction of the proposed adjustments helps stakeholders assess financial impact before final rule adoption.

What You Will Learn

  • How proposed Medicare physician fee schedule changes are affecting office-based evaluation and management payment trends
  • How projected impacts differ between non-facility and facility settings
  • Which broad categories of outpatient E/M services are most affected by the proposal
  • Why Medicare payment policy changes matter for high-volume office visit services

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Revenue cycle teams
  • Physician office administrators

Codes Discussed


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