Reimbursement: ED Providers Could See E/M, Critical Care Changes Under New Proposal

Why This Topic Matters

The proposal could affect how emergency department services are reported and reimbursed, while also signaling broader Medicare payment pressure for physician practices. It is relevant for coders, billing staff, compliance teams, and emergency medicine leaders monitoring proposed federal policy changes.

Article Sections

1. Background and proposed rule overview

   Introduces the CMS calendar year 2022 Medicare Physician Fee Schedule proposed rule and highlights the main policy themes discussed in the article.

2. Telehealth could continue for ED codes

   Summarizes the proposed extension of emergency department-related telehealth availability and the general policy context around that proposal.

3. Split/shared visits may enter ED

   Covers proposed changes affecting split/shared visit policy for emergency department services, critical care, and teaching physician services.

4. Expect lower conversion factor

   Describes the proposed Medicare conversion factor change and the broader payment impact discussed in the article.

5. Public outcry

   Notes the reaction from physician organizations and the general concerns raised about the proposed payment changes.

6. Consider commenting before deadline

   Provides the public comment timeline and the expected timing for the final rule.