Medicare’s 2024 Final Rule: The Impact of Code G2211 on Your Practice

 



The Medicare Physician Fee Schedule for 2024 was revealed by the Centers for Medicare & Medicaid Services (CMS) on November 2, 2023. This finalized rule outlines modifications slated to begin on January 1, 2024. These changes largely mirror the proposals made in July, with a focus on adjustments pertinent to urology. This article will spotlight these relevant alterations and offer further insights into the final rules that were recently disclosed.

Medicare Physician Fee Schedule Forecasts

The 2024 Medicare Physician Fee Schedule forecasts a reduction of around 3.37% in the conversion factor (CF), dropping from $33.89 in 2023 to $32.74. This decline stems from multiple factors: a 0% statutory update, a 2.17% decrease for budget neutrality, and an additional 1.25% reduction due to the absence of an increase outlined in the Consolidated Appropriations Act of 2023. The CF’s decrease is partly influenced by the reintroduction of the add-on code G2211, which will be explored further in this article. Prior to January 1, 2024, there’s anticipation for Congress to intervene and mitigate this CF decrease.

Effective January 1, 2024, changes to evaluation and management (E/M) services will occur, incorporating the implementation of the add-on code G2211. This code delineates the inherent complexity of visits linked to ongoing care for comprehensive health needs or for a patient’s singular serious or complex condition.

Initially proposed by CMS in 2021, code G2211 aims to compensate physicians for the added efforts in coordinating care for intricate or serious conditions. However, Congress mandated its implementation delay until January 1, 2024. The proposed 2024 implementation of the code involved several revisions addressing previously identified issues. Despite mixed reviews, CMS decided to proceed with the code’s implementation along with the proposed revisions, offering some guidance for its use. While attempts will be made to identify potential issues, it’s anticipated that further clarification from CMS might be necessary if Congress doesn’t act to block the code’s implementation through subsequent measures.


https://www.allzonems.com/medicares-2024-final-rule-the-impact-of-code-g2211-on-your-practice/

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