Medicare Compliance & Reimbursement - 2021 Issue 9
Check Out 4 E/M Proposals in the MPFS
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Article Overview
This article summarizes several proposed Medicare Physician Fee Schedule updates related to evaluation and management services for 2022. It is relevant to physicians, nonphysician practitioners, teaching practices, and coders who follow CMS policy changes affecting documentation, reporting, and billing guidance.
Why This Topic Matters
The proposed changes could affect how evaluation and management services are reported and documented under Medicare. Readers who code office, split/shared, critical care, or teaching-physician services may want to review the full article to understand the policy context and pending revisions.
Article Sections
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Overview of 2022 MPFS E/M proposals
Introduces the main themes in the proposed rule and explains that the article focuses on several evaluation and management policy updates for the upcoming year.
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E/M 2021 revisions
Summarizes the proposal’s treatment of recent changes to evaluation and management visit policy and related manual provisions.
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Split/Shared updates
Covers proposed revisions involving split/shared visits, nonphysician practitioners, and related reporting and documentation guidance.
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Critical care policies
Describes proposed refinements to evaluation and management policies for critical care services and related billing guidance.
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Teaching physicians services modifications
Outlines proposed changes affecting resident services in teaching settings and the framework used to determine visit level under certain circumstances.
What You Will Learn
- The scope of proposed 2022 Medicare Physician Fee Schedule changes affecting evaluation and management services.
- Which broad policy areas are addressed in the CMS proposal.
- How the article frames updates for split/shared visits, critical care, and teaching-physician services.
- Who may be affected by the proposed policy revisions.
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Nonphysician practitioners
- Compliance teams
- Teaching hospitals and residency programs
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