2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing (On-Demand) | November 2021-08

08 - Preview into 2023 E&M Changes_Littenberg

Pdf Summary

In this document, Dr. Glenn Littenberg discusses various aspects of E/M and other revenue repair in the medical field. He highlights the difference in revenue between level 5 and level 4 E/M services, emphasizing the importance of complex decision-making for higher reimbursement. Dr. Littenberg also mentions time-based billing for established patient services and MDM for new patients, as well as separate billing for smoking cessation services. He discusses the potential revenue repair for procedural services such as hemorrhoid banding and cold snare removal. The document also covers the importance of strict biopsy/submission techniques for pathology services. <br /><br />Furthermore, Dr. Littenberg touches on ancillary services such as chronic care management and care plan oversight, highlighting the specific codes and criteria for reporting these services. He mentions the visit prior to colonoscopy and its impact on cost-sharing for patients. The document also explains the different types of care management services and their subdivisions based on the provider's involvement. The codes for principal care management services are outlined, along with the 99437 code for video calls to Medicare patients.<br /><br />The document also mentions remote patient monitoring (RPM) and remote therapeutic monitoring (RTM), describing the codes associated with these services. Dr. Littenberg discusses evolving technologies in GI and the potential impact on payments. He concludes the document by mentioning the proposed changes for E/M in 2023, including consultations, inpatient admissions, and follow-ups. Dr. Littenberg also mentions the potential introduction of the G2211 code in 2024, which would be applicable to primary care visits.

Keywords

E/M services

revenue repair

level 5

complex decision-making

time-based billing

MDM

procedural services

biopsy/submission techniques

care management services

remote patient monitoring