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Medicare, Medicaid & CHIP

The Centers for Medicare & Medicaid Services (CMS), the agency responsible for running Medicare and Medicaid within the US Department of Health and Human Services (HHS), arguably issues the most regulations that have a direct impact on emergency physicians. Their annual Medicare physician fee schedule (PFS) includes proposals that affect Medicare payments—which serve as the basis for which many private payers set their reimbursement rates. In the next regulation, expected to be released in late June or early July, we could see changes to the valuation of the Emergency Department Evaluation and Management (E&M) codes—the most commonly billed services for emergency physicians—that would impact total Medicare reimbursement for emergency physicians by tens of millions of dollars. Check out our Regs & Eggs blog for the latest regulatory updates.  

Find highlights from our response to last year’s PFS proposed reg here, as well as a summary of the final reg here.

Medicare and Medicaid Regulatory Comment Letters

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