decisionhealth Newsletters, Part B News - 2023 Issue 8 (August)
Remote BPCI codes, E/M services big gainers in proposed PFS fee dollars
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Article Overview
This article reviews proposed CY 2024 Medicare physician fee schedule changes and focuses on which services show the largest projected payment gains and losses. It is useful for physicians, coders, billing staff, and practice administrators who follow Medicare valuation trends, especially in remote services, bundled care programs, device-related services, and specialty procedures. The piece presents winner-and-loser tables and compares proposed non-facility professional fees against 2023 amounts.
Why This Topic Matters
Understanding proposed fee schedule shifts helps practices anticipate reimbursement changes, track Medicare policy priorities, and identify services that may need review in budgeting, contracting, and coding workflows.
Article Sections
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Overview of proposed CY 2024 fee changes
Introduces the overall context for proposed Medicare payment changes and notes the broad service categories drawing attention in the update.
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Top percentage payment gainers
Summarizes the services appearing among the largest projected increases in the proposed fee schedule and the specialties most likely to notice the changes.
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Remote E/M services and bundled-care programs
Highlights remote evaluation and management services tied to Medicare bundled care initiatives and related CMS demonstration activity.
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Top payment losers
Reviews the services with the largest projected decreases in the proposed fee schedule and the types of specialties affected.
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Source and methodology note
Identifies the fee-analysis basis used to compile the winner-and-loser tables.
What You Will Learn
- How proposed Medicare physician fee schedule changes are being framed for CY 2024
- Which broad categories of services appear among the largest projected payment gainers and losers
- How remote care and bundled-care programs are represented in the payment update
- What kinds of specialty services are affected by the proposed valuation changes
- How the article presents proposed non-facility professional fee comparisons
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Practice administrators
- Cardiology and electrophysiology practices
- Surgeons
- Ophthalmology practices
Codes Discussed
Modifiers Discussed
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