E/M SERVICES: You May See More Reimbursement For The E/M Coding You're Already Doing

Why This Topic Matters

Readers who code or manage physician services need to understand how Medicare payment policy changes can affect reimbursement patterns across E/M, imaging, procedures, and drug administration-related services. The article provides context for why payment levels may shift and flags broader CMS and MedPAC actions that can influence practice operations.

Article Sections

1. MedPAC review of physician payment trends

   Discusses changes in the relative share of physician spending and the broader payment context affecting office-based services and specialty services.

2. Recommendations affecting RVU review and payment updates

   Summarizes policy recommendations related to review of relative value units and possible physician payment updates for future years.

3. Chemotherapy payment and access discussion

   Addresses MedPAC’s review of chemotherapy payment adequacy, access concerns, and the impact of beneficiary cost-sharing on care settings.

4. Competitive Acquisition Program and CMS demonstration projects

   Covers recommendations involving drug vendor delivery under the competitive acquisition framework and the use of demonstration projects for health care innovation.