ED Coding & Reimbursement Alert - 2022 Issue 14
Policy: Add These 4 MPFS Proposals to Your Watch List
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Article Overview
This article reviews selected proposals in the CY 2023 Medicare Physician Fee Schedule and explains why they matter for Medicare reimbursement and policy planning. It is aimed at coders, billers, compliance staff, and clinicians who need a high-level view of upcoming CMS changes affecting E/M services, telehealth coverage, split/shared visits, and behavioral health access. The discussion focuses on the categories of proposed guidance and implementation timing rather than detailed coding instructions.
Why This Topic Matters
The proposals described here may affect Medicare billing workflows, reimbursement expectations, documentation practices, telehealth planning, and behavioral health service delivery. Readers can use the article to gauge which CMS rule changes may require operational review before they take effect.
Article Sections
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Overview of the CY 2023 MPFS proposed rule
Introduces the CMS proposed rule and frames the broader reimbursement and policy context for the year ahead.
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E/M services updates
Summarizes proposed changes related to office and other evaluation and management services, including guideline and documentation themes.
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Telehealth services
Covers proposed telehealth policy changes, including temporary flexibilities and additions to the telehealth services list.
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Split/shared visits
Describes the proposed timing and implementation approach for split/shared visit policy changes.
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Behavioral health proposals
Reviews proposed CMS actions intended to expand or refine behavioral health service access and related Medicare policy.
What You Will Learn
- What policy areas are highlighted in the CY 2023 Medicare Physician Fee Schedule proposal
- How CMS is approaching E/M-related revisions for non-office settings
- What broad telehealth policy changes are being proposed
- How the timing of split/shared visit policy changes is being handled
- What categories of behavioral health proposals CMS is advancing
Who Should Read This
- Medical coders
- Billing and reimbursement professionals
- Compliance teams
- Physician practices
- Hospital coding staff
- Behavioral health administrators
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