E/M Coding Alert - 2023 Issue 11
Office Visit: Here Comes +G2211 for Extra E/M Pay
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Article Overview
This article explains a proposed Medicare payment policy change affecting office and outpatient evaluation and management services. It covers the background of CMS’s planned implementation, the expected budget-neutral payment effects across specialties, the types of encounters involved, and the general telehealth and continuity-of-care context. It is relevant to physicians, surgeons, coders, and billing professionals who track Medicare E/M policy and fee schedule updates.
Why This Topic Matters
The proposed policy could change reimbursement patterns for office and outpatient visits and influence how practices across specialties experience Medicare payment shifts. Readers who manage coding, billing, or practice revenue should understand the scope and timing of the change and its potential impact on different service mixes.
Article Sections
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MPFS proposed rule slates implementation January 1
Introduces the proposed Medicare timing for the policy change and frames its possible impact on practice revenue under the fee schedule update.
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Follow the +G2111 Saga
Provides background on CMS’s proposed add-on service and the broader payment context surrounding its implementation, including budget neutrality and specialty-level effects.
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Here’s How the Code Works
Summarizes the general encounter types and care setting context in which the add-on service is discussed, along with its relationship to ongoing patient care and telehealth.
What You Will Learn
- What the article says about the proposed Medicare timing for the new policy
- How the article frames the broader payment and budget-neutrality context
- Which general types of encounters and care settings are discussed
- Why different specialties may experience different reimbursement effects
- How the article situates the topic within telehealth and continuity of care
Who Should Read This
- Physicians
- Surgeons
- Medical coders
- Billing professionals
- Practice managers
- Revenue cycle staff
- Compliance staff
Codes Discussed
Code Ranges Discussed
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