Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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tci ED Coding & Reimbursement Alert - 2013 Issue 9
Reader Question: What In The World Is The Global Period On An E/M Code?
Question: One of our providers saw a patient in the ER who had a wound on her knee. All that went on the ER bill was an E/M code. The next day, the patient came in as an outpatient and saw the same doctor, and this time he did some debridement (not extensive). Can we actually submit a charge for his work on the outpatient the next day?
New Mexico Subscriber
Answer: Yes, the visit on the second day is reportable since E/M visits do not have a multiple day global package. If the chart documentation justifies a second...
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