I am the first one to admit I will be happy to see consults go away. I will not be happy to lose the money though.
Has anyones accounting department done the analysis of the impact it will have on the bottom line? I was putting together a newsletter for my facility and I started doing the comparisons. I got about half sick.
Outpatient is not too bad, at least there are 5 code levels to crosswalk to. It is still a hit though. Currently medicare approves $ 124.79 for a 99243 that would be equal to a 99203 if they are a new patient, which they approve $ 91.97 for, or a 99214 if they are established which they approve $ 92.33. Not good but not near as bad as inpatient.
Inpatient consults would crosswalk to subsequent care codes. This means that 99255, 99254, and 99253 would all be coded as 99233. Currenlty we get $ 201.97 for 99255, $ 165.55 for 99254, and $ 114.69 for 99253. 99233 is $ 95.58.
I haven't spoken to our accounting department, yet, and I really don't look forward to hearing what they have to say. I just wanted to see if anyone else had looked at the impact this will have. Are your offices submitting comments to CMS on this?
I have several specialists and consults are the bulk of their E/M services. Ouch is all I can say at the moment.
Laura, CPC, CEMC
Has anyones accounting department done the analysis of the impact it will have on the bottom line? I was putting together a newsletter for my facility and I started doing the comparisons. I got about half sick.
Outpatient is not too bad, at least there are 5 code levels to crosswalk to. It is still a hit though. Currently medicare approves $ 124.79 for a 99243 that would be equal to a 99203 if they are a new patient, which they approve $ 91.97 for, or a 99214 if they are established which they approve $ 92.33. Not good but not near as bad as inpatient.
Inpatient consults would crosswalk to subsequent care codes. This means that 99255, 99254, and 99253 would all be coded as 99233. Currenlty we get $ 201.97 for 99255, $ 165.55 for 99254, and $ 114.69 for 99253. 99233 is $ 95.58.
I haven't spoken to our accounting department, yet, and I really don't look forward to hearing what they have to say. I just wanted to see if anyone else had looked at the impact this will have. Are your offices submitting comments to CMS on this?
I have several specialists and consults are the bulk of their E/M services. Ouch is all I can say at the moment.
Laura, CPC, CEMC