decisionhealth Newsletters, Part B News - 2020 Issue 8 (August)
Select E/M-influenced services get swept into rising fee stream in 2021
Subscribe or sign in to view the full article.
Article Overview
This premium article explains proposed 2021 Medicare payment updates for several service categories that are tied to office/outpatient evaluation and management valuation. It is aimed at coders, billers, and reimbursement professionals who need to understand which service families are being repriced, how the changes relate to the Medicare physician fee schedule, and what broad categories of guidance CMS provided.
Why This Topic Matters
The article helps readers track how E/M revaluation can affect payment for multiple related services, not just office visits. That makes it relevant for practices and specialties that rely on transitional care, cognitive assessment, preventive visits, maternity bundles, emergency department services, ESRD services, and ophthalmology.
Article Sections
-
Physician payments
Overview of the proposed 2021 fee schedule context and the service families affected by updated E/M-linked valuations.
-
Transitional care management
Discussion of CMS valuation changes affecting transitional care management services and the general payment impact.
-
Cognitive assessment services
Coverage of proposed valuation updates for cognitive assessment and care planning services.
-
‘Welcome to Medicare’ and annual wellness visits
Summary of proposed changes affecting preventive visit services under Medicare.
-
Maternity services
Overview of proposed valuation changes for maternity package services and their payment effects.
-
Emergency department services
Discussion of proposed changes affecting emergency department visit valuations.
-
ESRD monthly capitation payment services
Coverage of proposed updates for end-stage renal disease monthly capitation payment services.
-
Ophthalmological services
Summary of CMS’s position on ophthalmology visit services in the proposed rule.
-
Proposed 2021 revised valuations
Tabular presentation of proposed 2021 work RVU comparisons for the service groups discussed in the article.
What You Will Learn
- Which broad service categories are affected by the proposed 2021 Medicare physician fee schedule changes
- How CMS grouped services with office/outpatient E/M influence
- Which specialties and service families are discussed in the valuation update
- Where the article presents proposed RVU comparisons for affected services
Who Should Read This
- Medical coders
- Coding auditors
- Physician billers
- Revenue cycle professionals
- Practice managers
- Specialty billing staff
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com