ED Coding and Reimbursement Alert

Check these RVU changes to calculate your 2012 payments If you were hoping for a reprieve in 2012 from the recession cost pressures on EDs, the word is that you can expect an overall decrease of 1.5 percent in 2012 CMS payments. Read on for how this all breaks down and will affect your ED billing. 2012 fee schedule facts: The Centers for Medicare and Medicaid Services (CMS) released the Medicare Physician fee schedule Final Rule Nov. 1, 2011, which addresses changes to the physician fee schedule, as well as other important Medicare Part B payment policies. The rule is effective beginning Jan. 1, 2012 and was published in the Nov. 28, 2011 Federal Register. Look For Small ED E/M RVUs Decreases According to the 2012 final rule, emergency medicine will experience a -1 percent update to overall RVU values in 2012. This is independent of any change [...]