tci Medicare Compliance & Reimbursement - 2006 Issue 43
EMERGENCY MEDICINE ~ Good News: Your ED E/Ms Will Be Worth More In 2007
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Article Overview
This article reviews how the 2007 Medicare Physician Fee Schedule affects emergency medicine reimbursement. It focuses on emergency department evaluation and management services, critical care services, and the role of CMS payment adjustments in shaping overall practice revenue. The piece is written for emergency physicians, ED coders, and reimbursement staff who need to understand the general scope of the changes and their financial implications.
Why This Topic Matters
Emergency department practices depend heavily on evaluation and management reimbursement, so changes to relative value units and the conversion factor can materially affect revenue. This article helps readers understand why 2007 payment changes mattered for ED operations, compliance, and budgeting.
Article Sections
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ED evaluation and management reimbursement changes
Covers the 2007 fee schedule update for emergency department E/M services and discusses the general direction of the changes for ED reimbursement.
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Level 2 E/M worth 60 percent more this year
Summarizes the fee schedule update across the standard emergency department visit levels and places the change in the context of documentation and coding accuracy.
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CMS also ups critical care code RVUs
Reviews the related update affecting critical care services and explains that these changes are part of the broader reimbursement picture for emergency medicine.
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New conversion factor will reduce RVU gains
Explains the Medicare payment framework adjustment that offsets some of the benefit from the RVU updates and discusses factors that influence overall revenue impact.
What You Will Learn
- How the 2007 Medicare Physician Fee Schedule affected emergency department reimbursement
- Which broad ED service categories saw payment-related changes
- Why RVU updates and conversion factor changes both matter to revenue
- What factors can influence the overall financial impact on an ED practice
Who Should Read This
- Emergency physicians
- Emergency department coders
- Medical billing staff
- Practice administrators
- Reimbursement specialists
Codes Discussed
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