tci Medicare Compliance & Reimbursement - 2021 Issue Q4
Medicare Physician Fee Schedule: Pocket These 5 Fee Schedule High Points
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Article Overview
This article summarizes several high-impact updates in the 2022 Medicare Physician Fee Schedule final rule. It is aimed at coders, billers, compliance staff, and clinicians who need a broad understanding of Medicare policy changes related to telehealth, split/shared evaluation and management services, physician assistant payment, vaccine administration, and teaching physician billing.
Why This Topic Matters
The changes discussed can affect Medicare billing workflows, service reporting, documentation practices, and payment expectations across multiple settings. Readers can use the article to quickly identify which parts of the annual fee schedule update may be relevant to their organization.
Article Sections
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Understand the changes to split/shared E/M services
Explains policy updates affecting split/shared evaluation and management visits, including timing, documentation, and how the Medicare rule addresses service reporting across provider types.
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Know that Medicare telehealth services are still evolving
Reviews Medicare telehealth list updates and temporary extensions for selected services, along with related changes affecting behavioral health telehealth.
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CMS follows through on the CAA mandate for PA Services
Summarizes the Medicare policy update implementing the Consolidated Appropriations Act requirement related to physician assistant payment and billing arrangements.
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Expect higher payments for immunization administration
Covers Medicare payment updates for vaccine administration and notes how the rule addresses common immunization-related payment categories.
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See the latest on teaching physician payments
Describes revisions to teaching physician payment policy tied to evaluation and management visit level selection and resident involvement.
What You Will Learn
- Which major Medicare Physician Fee Schedule policy areas were updated for 2022.
- How the final rule affects telehealth, split/shared services, and teaching physician policies at a high level.
- What broad payment and billing topics changed for physician assistants and immunization administration.
- Which organizations and annual rulemaking sources are involved in the update.
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Physicians
- Non-physician practitioners
- Practice managers
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