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

Video Transcription

Video Summary

The video is a presentation about changes to Evaluation and Management (E&M) codes and Medicare in 2023. The speaker starts by thanking the staff involved in organizing the event. They explain that the physician fee schedule has not had a significant inflation update for many years and that they are advocating for changes to the payment system to ensure inflation adjustments for physicians. The speaker then discusses some previewed E&M changes for 2023 and talks about ideas for revenue repair. They mention that consult codes will no longer be reimbursed better than equivalent visits. They go on to explain the transition to new E&M code descriptors and billing rules, emphasizing the importance of medical decision-making complexity and the necessity of clear documentation. The speaker also discusses the reimbursement rates for hospital inpatient and observation care, as well as prolonged services. They highlight certain rules and guidelines related to E&M visits, medical decision-making, and the use of codes for specific services. The speaker suggests various ways to improve revenue, such as billing for smoking cessation counseling, chronic care management, prolonged services, telephone services, and care plan oversight. They also mention the potential for remote physiologic monitoring in the future. The presentation concludes with the speaker encouraging the audience to adapt to changes and seize the opportunities presented. No credits were mentioned in the transcript.

Asset Subtitle

Glenn D. Littenberg, MD, MACP, FASGE

Keywords

Evaluation and Management codes

Medicare changes

Physician fee schedule

E&M code descriptors

Medical decision-making complexity

Reimbursement rates

Billing for specific services