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

Why This Topic Matters

Understanding proposed Medicare payment changes helps practices anticipate reimbursement shifts, review specialty-level impact tables, and prepare for final rule updates later in the year.

Article Sections

1. Proposed CY 2024 Medicare payment change

   Introduces the proposed calendar year 2024 Medicare update and the general reason some practices may see different payment effects despite broader conversion factor pressure.

2. Implementation of the add-on code

   Summarizes the planned implementation timing and CMS’s rationale for the add-on payment concept in outpatient and office-based evaluation and management services.

3. How specialty impacts are expected to vary

   Describes the types of specialties CMS expects to be affected and the broad categories of services that contribute to the proposed payment shifts.

4. CMS cautions on specialty impact estimates

   Explains CMS’s reminder that specialty-level estimates are averages and may not reflect the payment experience of an individual provider or claim.