Lexology July 30, 2021
Hall Render Killian Heath & Lyman PC

On July 23, 2021, CMS published its proposal for changes to its Medicare Part B payment policies for calendar year 2022, including proposed changes for teaching physician billing. In addition, in the same proposed rule, CMS published a proposal to modify the reporting relating to teaching hospitals under the Open Payments system. This article describes how these proposals could limit teaching hospitals’ and teaching physicians’ options for assigning outpatient and office evaluation and management codes for patient encounters, as well as the benefits that teaching hospitals could expect from the proposed revisions to the Open Payments program.

This client alert is Part 4 of our series providing insight into current changes to the Medicare program relating to the teaching setting,...

Today's Sponsors


Today's Sponsors


Today's Sponsor


Topics: CMS, Govt Agencies, Insurance, Medicare, Physician, Primary care, Provider
Medicare Physician Fee Schedule and Hospital Outpatient Prospective Payment System Final Rules
Physician-hospital consolidation causes Medicare spending on labs, imaging to soar: study
When hospitals buy physician groups, Medicare spending increases, study finds
Medicare reimbursements higher for physicians integrated with hospitals, study finds
NEJM study says independent physician ACOs saved Medicare more than hospital-integrated ACOs