Sarah Bowman, Principal, recently authored an article published by the American Association of Provider Compensation Professionals (AAPCP). The article, “Addressing the 2024 Physician Fee Schedule—Key Updates and Adjustments,” assesses many impacts of the updates to the 2024 Medicare Physician Fee Schedule (MPFS) on various specialties.
“As the dollars shift toward primary care related services, the effects of 2024 fee schedule changes are less than positive for a number of specialties, including anesthesiology, radiology and interventional radiology, and vascular and thoracic surgery,” Bowman writes.
She details the new complexity add-on code G2211, revisions to split-shared guidelines, and changes to telehealth, virtual supervision, remote monitoring, and health-related social needs.
Regarding G2211, she states:
“…depending upon the volume of its use across a provider’s Medicare patient population, this complexity add-on could be impactful to some providers’ productivity and/or professional collections, without requiring an increase in the providers’ overall patient visit volume. Health systems employing physicians under a productivity-based compensation model and/or who are using prior calendar year fee schedules to calculate work RVUs will need to consider how to properly account for this new code.”
Bowman concludes by encouraging billing teams to review coding and documentation to ensure compliance with the new guidelines, and provider compensation professionals should look for inevitable impacts to provider compensation plans.
The full article was published in the March 6, 2024, issue of the AAPCP Bulletin, where it is available to AAPCP members and subscribers. View a PDF of the article.
This is the first in a 2024 series of PYA articles related to physician compensation design, planning, and valuation that will be published in the bulletin. PYA leaders also published articles in the bulletin in 2023:
- Playing Offense: Using Compensation Design and Strategy to Retain Hospital-Employed Primary Care Physicians
- Understanding Group Compensation Model Design for Hospital-Employed Physician Practices
- Helping Hospitals Navigate Financial Assistance Arrangements to Secure Specialty Coverage in an Evolving Healthcare Landscape
The AAPCP is the largest nonprofit organization in the country devoted to provider compensation, contracting, and alignment. The organization’s members advise and lead organizations on provider compensation, contracting, planning, recruitment, retention, strategy, and valuation.
For additional guidance related to provider compensation design or any matter related to fair market value compensation, valuation, compliance, or strategy and integration, one of our executive contacts would be happy to assist. You may email them below or call (800) 270-9629.
