2023 Gastroenterology Reimbursement and Coding Update (On-Demand) | November 2022-Preview into 2023-2024 E&M Changes

Video Transcription

Video Summary

The video begins with the speaker thanking the staff involved in organizing the event. They discuss the upcoming changes in E&M (evaluation and management) codes and Medicare for 2023. The speaker expresses concern over potential cuts and advocates for changes in the payment system. They then pose a reimbursement question to the audience regarding consult codes in 2023. The majority of the audience believes that consult services will not be reimbursed better than the equivalent visits. The speaker explains that consult codes have been phased out and highlights the importance of medical necessity in documentation. They discuss the challenges of reimbursement in the healthcare industry and the need for physicians to adapt. The speaker then goes on to preview the transition to the new E&M code descriptors and the importance of accurate documentation. They discuss the use of time and medical decision-making complexity in determining code selection. The speaker addresses various related rules, such as the definition of a transfer of care and the limitations on consultation codes. They also discuss the importance of understanding social determinants of health and how they can impact code selection. The speaker provides examples of different codes for different settings, such as emergency department codes, SNF codes, and codes for domiciliary or residence settings. They discuss the reimbursement differences between E&M visits and procedural activity and suggest ways to optimize revenue, such as coding for smoking cessation counseling, chronic care management, and prolonged services. The speaker emphasizes the importance of accurate and comprehensive documentation and highlights additional coding opportunities, such as telehealth services and remote monitoring. They conclude by encouraging physicians to adapt to the changing reimbursement landscape and reminding them of the potential opportunities that exist.

Asset Subtitle

Glenn D. Littenberg, MD, MACP, FASGE

Keywords

E&M codes

Medicare 2023

payment system changes

consult codes

reimbursement challenges

E&M code descriptors

code selection