In the final rule released in 2018 for 2019, CMS decided to reduce the E&M Level reimbursement for all off-campus departments of the hospital, including exempted centers. This reduction only affects CPT code G0463. If you have an off-campus provider-based department of the hospital, you will now be reimbursed 70% of the OPPS rate for 2019 with further reduction down to 40% in 2020.
A large part of the work my team does at WCA involves dashboarding, reporting, and benchmarking. We’ve gained a great deal of experience and insight on how to interpret and present the large amount of data we receive each day to better inform our clinical and business decisions...
