decisionhealth Newsletters, Part B News - 2022 Issue 11 (November)
Most specialties projected to lose charges in 2023: Fee schedule
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Article Overview
This article reviews how the final 2023 Medicare physician fee schedule affects projected allowed charges across medical specialties. It is relevant to physicians, coders, practice administrators, and reimbursement analysts who track annual Medicare payment changes, RVU-based shifts, and CMS commentary on specialty-level impacts. The article focuses on broad specialty trends, the factors driving those changes, and the overall distribution of projected increases, decreases, and flat results.
Why This Topic Matters
Specialty-level Medicare payment changes can influence revenue planning, service mix, and coding and billing workflows for the coming year. Understanding the direction of these projected changes helps practices assess reimbursement risk and monitor CMS updates tied to RVUs and fee schedule revisions.
Article Sections
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Projected specialty charge changes
Summarizes the overall direction of projected allowed charge changes across medical specialties for the upcoming fee schedule year. It highlights the balance between specialties expected to see increases, decreases, or no change.
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CMS explanation of the drivers
Describes the general factors CMS says are influencing specialty-level RVU changes in the final rule. The discussion focuses on broad categories of payment revision activity and related valuation updates.
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Source and reference note
Identifies the CMS final rule table used for the analysis and the publication source for the fee schedule information.
What You Will Learn
- How the final 2023 Medicare physician fee schedule is affecting specialty-level allowed charges
- What broad RVU-related factors are influencing projected payment changes
- Which types of specialties are trending toward increases, decreases, or flat results
- How CMS characterizes the scope and limitations of specialty-level projections
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice administrators
- Reimbursement analysts
- Healthcare finance teams
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