E/M Coding Alert - 2021 Issue 12
Part B Payments: New Fee Schedule Reveals Lower Conversion Factor for 2022
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Article Overview
This article summarizes notable parts of the 2022 Medicare Physician Fee Schedule Final Rule relevant to emergency department billing and coding. It covers the updated conversion factor, overall reimbursement context, and policy changes under consideration or clarification for split/shared evaluation and management visits, critical care, and teaching physician services. The piece is aimed at ED coders, billers, and compliance-focused clinical leaders who need a high-level read on Medicare payment and documentation changes.
Why This Topic Matters
Medicare fee schedule updates can affect ED reimbursement, documentation practices, and claim reporting across the year. Understanding the scope of these changes helps coding and billing teams prepare for policy shifts and monitor payment impacts.
Article Sections
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Background
Provides context for the 2022 Medicare Physician Fee Schedule Final Rule and its relevance to emergency department billing and coding.
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Physician Fee Schedule Conversion Factor
Summarizes the payment update discussion and the overall conversion factor change for 2022.
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ED E/M RVU Changes Remain Basically Stable
Describes the general status of emergency department evaluation and management relative value unit updates and related fee schedule adjustments.
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Look for E/M Changes
Outlines broader policy developments related to evaluation and management services, including split/shared visits, critical care, and teaching physician services.
What You Will Learn
- How the 2022 Medicare Physician Fee Schedule affects emergency department billing at a broad level
- Which policy areas are receiving clarification or refinement for evaluation and management services
- What kinds of Medicare payment and documentation issues coding teams should monitor
- How the article frames split/shared visits, critical care, and teaching physician topics
Who Should Read This
- Emergency department coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Physicians and non-physician practitioners in emergency medicine
Codes Discussed
Modifiers Discussed
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