On-Demand: Overview of 2023 AMA Evaluation and Management Changes and Key MPFS Proposed Rule Impacts-Presentation Slides

Presentation Slides

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This document provides an overview of the proposed changes to Evaluation and Management (E/M) services and key impacts from the 2023 Medicare Physician Fee Schedule (MPFS) proposed rule. The proposed rule includes changes to the coding and documentation for Other E/M visits, including hospital inpatient, observation, emergency department, nursing facility, home or residence services, and cognitive impairment assessment. <br /><br />The proposed rule also introduces changes to the payment rates for cardiologists, with an estimated decrease of 1% from 2022 to 2023. It also proposes the creation of Medicare-specific coding for payment of Other E/M prolonged services. <br /><br />Other key points from the document include the proposed delay of the split/shared visits policy and the maintenance of certain telehealth flexibilities authorized during the COVID-19 Public Health Emergency (PHE). The proposed rule also includes potential cuts to electrophysiology ablation procedures and updates to the Quality Payment Program (QPP) and Medicare Shared Savings Program for 2023. <br /><br />The document also discusses the revised AMA E/M guidelines for 2023, including the distinction between new and established patients, the inclusion of advanced practice nurses and physician assistants in the same specialty as the physicians they work with, and the changes to MDM criteria. It concludes with reference to additional resources for more information.

Keywords

Evaluation and Management services

2023 Medicare Physician Fee Schedule

coding and documentation

Other E/M visits

payment rates for cardiologists

Medicare-specific coding

split/shared visits policy

telehealth flexibilities

revised AMA E/M guidelines

MDM criteria