2023 E/M Impact Calculator
- February 14, 2023
Compared to the 2020 Medicare Physician Fee Schedule (MPFS), the subsequent MPFS releases have had a significant economic impact across virtually all healthcare organizations. Specifically, changes to evaluation and management (E/M) coding and the associated decline in the conversion factor may result in substantial losses for organizations, especially those utilizing productivity-based compensation plans. The exact magnitude of these potential losses will largely depend on many factors, including but not limited to specialty type (e.g., surgical, medical, primary care), case volume, and historical/contractual provider compensation per work RVU.
The significant changes in E/M RVUs initiated with the 2021 MPFS final rule focused on the outpatient setting, and updates made within the 2023 MPFS final rule, expand to the inpatient, post-acute, and home health settings.
We recognize that many healthcare organizations are scrambling to update and complete budgets and are struggling to quantify the financial impact of these changes. To that end, we have developed an E/M revenue calculator to help organizations estimate the expected impact of the changes. Contact us today if you have any questions about the results, general questions about the 2023 MPFS, how the MPFS changes may impact your organization, and how you can best prepare your organization for success under the new MPFS allowables and RVUs.
The following calculator estimates the potential economic impact your organization may face with a partial listing of changing codes. Please note that the results of the calculations include the national Medicare reimbursement impact based on the volume input. As such, the calculation results are meant for planning purposes only and do not represent an estimation of value. For a more in-depth assessment of your providers’ payment calculations and how this may affect your commercial and other payers, please contact us to speak with one of our physician compensation experts.