tci ED Coding & Reimbursement Alert - 2017 Issue 9

Part B Fee Schedule: 2018 Medicare Fee Schedule Proposes Major Updates to ED Services

Could you end up with more money for your ED visits? CMS has released its 2018 proposed Medicare Physician Fee Schedule, which recommends updates to the Part B payment policy. The proposals could be significant for emergency departments, since some of the biggest revisions could bring more pay to ED visits and could change the E/M documentation requirements. Potential ED Pay Boosts On the plus side, CMS appears to be open to boosting payment for emergency department visits. Page 107 of the Fee Schedule proposal states, “We have received information suggesting that the work RVUs for emergency department...

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