tci Medicare Compliance & Reimbursement - 2023 Issue Q3

Reimbursement: E/M Add-On Code May Offer Some Specialties a Pay Bump

Find out if you’re expected to see an increase for CY 2024. Due to a separate add-on code for outpatient/office E/M services, certain Medicare providers may find themselves on the right side of a payment increase despite the proposed conversion factor (CF) decrease. Lowdown: Beginning Jan. 1, 2024, the Centers for Medicare & Medicaid Services (CMS) proposes to implement the long-delayed HCPCS code G2211 (Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of...

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