Pushback prompts CMS to alter course on critical care policy

Why This Topic Matters

The article highlights a policy shift that affects how critical care and related E/M services are reported in the Medicare setting, making it important for practices that bill these services and monitor CMS final-rule updates.

Article Sections

1. CMS modifies its plans

   This section summarizes how CMS revised its proposed critical care policy in the final 2022 physician fee schedule. It addresses the broader reporting framework for critical care in relation to surgical and same-day services.

2. Watch for more modifier guidance

   This section notes remaining questions and potential follow-up guidance related to modifier reporting in the final rule. It focuses on how the rule language may affect implementation and future clarification.