CMS 2023 Changes Unlocked: Maximize Revenue with Us!

  • Nov 16, 2023

Exciting Changes Ahead in Healthcare!


CMS just dropped a bombshell with proposed rule changes for 2023, and the landscape of healthcare is set for a transformation! Here's a snapshot of what's in store:


  • Updated Medicare Economic Index (MEI):

CMS plans to revamp MEI cost share weights for 2023, utilizing U.S. Census Bureau data for a more accurate reflection of base year expenses.


  • Evaluation and Management (E/M) Visits:

Get ready for a complete E/M code overhaul! CMS is aligning the remaining E/M codes with outpatient guidelines, eliminating the use of history and examination for code determination.


  • Telehealth Services:

The telemedicine revolution continues! CMS proposes to extend telehealth flexibilities beyond the public health emergency, allowing services in any location, via audio-only devices, and by therapists and audiologists.


  • Split (or Shared) E/M Visits:

Good news for providers! CMS is considering delaying the requirement that only time defines the "substantive portion" of a split visit.


  • Behavioral Health Services:

CMS is introducing a new code for clinical psychologists and social workers in 2023, offering greater flexibility in delivering and billing behavioral health integration services.


  • Chronic Pain Management Services:

Chronic pain gets a new definition, and CMS proposes two new HCPCS codes for chronic pain management and treatment services in 2023.


  • Opioid Use Disorder (OUD):

CMS plans a 5.1% increase in methadone payment rates for 2023 and revises the pricing methodology for the drug component of the methadone weekly bundle.


  • Colorectal Cancer Screening:

Medicare coverage expands to individuals aged 45 and above, and the definition of screening services broadens to include follow-up colonoscopies for positive stool-based tests.


  • Audiology Services:

Direct access to audiologists without a physician referral! A new code (GAUDX) allows Medicare beneficiaries to seek audiologist services independently.

Hospitals may rejoice with a proposed 3.2% increase in operating payment rates under IPPS for those participating in the IQR program and utilizing EHR.


  • Physician Fee Schedule:

Changes in wRVU and reimbursement rates could impact various specialties, with cardiovascular services potentially facing significant reimbursement reductions.


  • Details Matter:

Dive deeper into the proposed changes to understand the implications of specific procedures and services. The healthcare landscape is evolving, and these changes could reshape how we deliver and receive care. Stay tuned for more updates! Ready to rev up your revenue? Partner with us!

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