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ED Coding and Reimbursement Alert

Regulatory Update:

The 2013 Medicare Fee Schedule Proposed Rule Estimates Emergency Medicine Payments Will Decrease by One Percent Next Year.

Published on Sun Jul 15, 2012

Read on to find out why and what other changes are proposed The proposed rule for the 2013 Medicare Physician fee schedule, released July 6, includes three key items of special interest to ED coders, namely a new code for coordination and transition of care following a visit to an inpatient facility, expansion of the prepayment review audits, and changes to ED specific PQRS measures.As in recent years, CMS is planning for an SGR mandated cut in physician payments of roughly 27.5percent, unless Congress steps in again to repeal the SGR formula or extend another patch to delay the projected severe cuts. Otherwise, the ED related codes should maintain their current RVUs with the specialty of emergency medicine estimated to take about a one percent cut in payments due to issues related to practice expense and additional procedural bundling, says Michael A. Granovsky, MD, FACEP, CPC, President of LogixHealth, [...]
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