tci ED Coding & Reimbursement Alert - 2021 Issue Q3

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

Plus: CMS proposes extending ED telehealth services through 2023. ED providers could see continued opportunities for reporting telehealth thanks to details in the proposed Medicare Physician Fee Schedule (MPFS), but the overall takeaway from the document could mean lower pay for all Medicare providers. Background: On July 21, CMS issued its Calendar Year (CY) 2022 MPFS proposed rule. Not as sparse as last year’s 1,350-page document, the 2022 proposal — at 1,747 pages — is chock full of surprises. Highlights include new information about split/shared critical care visits, a possible extension of ED telehealth services, and...

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