Reimbursement upheaval, telehealth coverage changes and a major shift to the facility-based E/M services are just several of the critical updates to Medicare policy contained in the final 2023 physician fee schedule.
Understand the ins and outs of 2023-effective updates to ensure your coding, billing, compliance and quality reporting strategies are in shape to meet the challenges of the new year. Download this 16-page comprehensive coverage report today! Highlights include:
8-to-24-hour rule remains in place. CMS finalized its plan to continue to apply the 8-to-24-hour rule for the newly consolidated inpatient or observation and discharge codes to deter what the agency views as the potential for duplicative payments.
Nov. 1 confirmed a harsh reality: Medical groups will see a 4.5%cut to the conversion factor (CF) on Jan. 1, 2023, as the CF falls to a rate of $33.06 and sends some charges under the Part B payment system tumbling.
Practices that report E/M services based on time could have to juggle up to six prolonged service codes in 2023 depending on where providers treat patients and on individual payer policy.
DecisionHealth serves the business and regulatory needs of healthcare practitioners, providers and their administrative staff nationwide. Our information services cover challenges as wide ranging as Medicare coding and reimbursement, hospital accreditation, benchmarks, payment and billing practices, compliance with health care fraud and abuse and HIPAA privacy laws. At Codingbooks.com,you will find solutions that support and enhance your revenue flow.