ED Coding & Reimbursement Alert - 2022 Issue 22
Policy: Check Out 5 Key MPFS Changes for CY 2023
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Article Overview
This article summarizes notable calendar year 2023 Medicare Physician Fee Schedule policy updates released by CMS. It is aimed at coding, billing, compliance, and reimbursement professionals who need a high-level view of changes affecting behavioral health integration, telehealth billing, other E/M services, split/shared visit timing, and preventive vaccine payment policies.
Why This Topic Matters
The changes discussed may affect documentation, billing workflows, telehealth billing practices, and payment updates for multiple service areas under Medicare. Readers who manage physician fee schedule compliance or reimbursement planning will want to understand the scope of these policy revisions before they take effect.
What You Will Learn
- What major Medicare Physician Fee Schedule policy areas changed for CY 2023.
- How CMS framed updates affecting behavioral health and behavioral health integration.
- What telehealth-related extensions and billing flexibilities were addressed.
- How CMS described broader E/M documentation and coding updates.
- What was delayed regarding split/shared visit implementation.
- How vaccine payment policy updates were revised for future years.
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Revenue cycle teams
- Physician practice administrators
- Health policy analysts
Codes Discussed
Modifiers Discussed
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