decisionhealth Newsletters, Part B News - 2012 Issue 8 (August)
Revalued E/M RVUs for procedures could dock pay, push post-op care to primary care
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Article Overview
This piece covers CMS’ 2013 proposed Medicare physician fee schedule discussion about revising how relative value units are assigned to the E/M portion of surgical procedures with a global period. It explains why the issue matters for surgeons, orthopedic practices, and other specialties, including potential effects on post-operative care distribution, relative payment levels, and feedback CMS is seeking from the provider community.
Why This Topic Matters
The article helps readers understand a proposed Medicare payment methodology change that could alter reimbursement patterns and shift post-operative care responsibilities across specialties. It is relevant to coding, billing, compliance, and practice management professionals monitoring surgical global package valuation and related fee schedule changes.
What You Will Learn
- What CMS is proposing to review in the Medicare physician fee schedule
- Why post-operative E/M valuation is being questioned
- How changes to global surgical package RVUs may affect payment and care patterns
- Which provider groups and specialties may be affected by the proposal
Who Should Read This
- Medical coders
- Coding auditors
- Compliance specialists
- Physician office staff
- Practice managers
- Surgeons
- Orthopedic practices
- Health policy analysts
Codes Discussed
Modifiers Discussed
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