Medicare Compliance & Reimbursement - 2022 Issue 2
News You Can Use: Dig Deep in the 2022 MPFS Final Rule Mixed Bag
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Article Overview
This article reviews selected provisions from the 2022 Medicare Physician Fee Schedule final rule and explains why they matter to coding and billing professionals. It focuses on broad policy updates affecting evaluation and management services, telehealth, physician assistant billing, and teaching physician payment rules, along with the broader payment environment under CMS and the AMA’s response.
Why This Topic Matters
The final rule contains multiple operational changes that can affect Medicare claim processing, documentation practices, and compliance workflows across physician and facility settings. Readers in coding, billing, and revenue cycle roles can use it to understand which policy areas changed for 2022 and where more detailed review may be needed.
Article Sections
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Watch the Conversion Factor Go Down in 2022
Discusses the 2022 Medicare Physician Fee Schedule conversion factor and the broader payment context surrounding the final rule. It also notes public and organizational responses to the update.
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Find Clarification in Split/Shared Rules
Covers CMS guidance on split/shared evaluation and management services, including general policy updates, documentation themes, and timing-related changes. It also addresses how these updates relate to E/M services versus procedures.
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Stay Abreast of Telehealth Regulation Evolution
Summarizes telehealth-related changes in the final rule, including continued monitoring of certain temporary telehealth categories and other service categories reviewed by CMS. It also mentions behavioral health telehealth updates and related telecommunication provisions.
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CMS Finalizes CAA Mandate for PA Services
Describes Medicare billing policy changes affecting physician assistants under the Consolidated Appropriations Act, 2021. The section focuses on general billing and payment flexibilities finalized for 2022.
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Don’t Miss the Teaching Physician Payment Update
Reviews revised teaching physician policy language tied to office and outpatient evaluation and management services. It highlights the relationship between resident involvement, physician participation, and Medicare payment policy.
What You Will Learn
- How the 2022 Medicare Physician Fee Schedule final rule affects physician payment policy
- What areas of evaluation and management guidance were updated for split/shared visits
- Which telehealth policy topics CMS continued to address for 2022 and beyond
- How physician assistant billing policy changed under the Consolidated Appropriations Act, 2021
- What teaching physician policy updates were finalized for office and outpatient E/M services
Who Should Read This
- Medical coders
- Billers and revenue cycle staff
- Compliance teams
- Physician practice managers
- Healthcare attorneys and consultants
- Teaching physicians and residents
Modifiers Discussed
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