Business of Medicine
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Highlights of the 2024 Medicare Physician Fee Schedule proposed rule
The suggested Medicare Physician Fee Schedule for calendar year (CY) 2024 was announced by the Centers for Medicare & Medicaid Services (CMS) in July 2023. Physicians who specialize in pulmonary, critical care, and sleep medicine will be impacted by a number of policy and payment changes. Additionally, keep in mind that this is the proposed…
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Nonphysician practitioner (NPP) billing for evaluation and management (E/M) and critical care services: A sea change now in effect!
In the 2022 Medicare Physician Fee Schedule, the Centers for Medicare and Medicaid Services (CMS) further refined E/M billing by addressing split/shared visits between nonphysician practitioners (such as nurse practitioners and physician assistants) (see https://www.govinfo.gov/content/pkg/FR-2021-11-19/pdf/2021-23972.pdf, pp. 65150-9). A split/shared visit is “an E/M visit in the facility setting that is performed in part by both a…
