Your specialties want payment increases for E/M services

Why This Topic Matters

Readers following Medicare payment policy can use this article to understand why many specialties are seeking higher valuation for E/M services and how the multi-year CMS review process affects future reimbursement. It also helps stakeholders track the policy groups and organizations involved in work value revaluation.

Article Sections

1. Overview of the request for E/M payment increases

   Introduces the specialties’ request for higher valuation of existing evaluation and management services and places it in the context of the Medicare physician fee schedule process.

2. How the review and recommendation process works

   Describes the timeline involving specialty society comments, the AMA committee review, and CMS action leading to a future final rule.

3. Arguments cited by the specialty societies

   Summarizes the broad categories of practice changes and workload concerns the groups say support reconsideration of E/M work values.

4. Specialties urging boost in pay for E/M services

   Lists the organizations that joined the request for payment increases across multiple medical specialties and professional groups.

5. Third five-year review and CMS revaluation focus

   Explains the broader work-value review context and CMS’s role in identifying codes for revaluation during the process.