Work

CMS Exclusion of Global Period Visits From E/M Payment Reform: Estimated Payment Loss for Pediatric Otolaryngologists

Year: 2025

Type: article

Abstract: In an effort enhance reimbursement for cognitive specialties, the Centers for Medicare and Medicaid Services (CMS) increased the payment for outpatient and inpatient E&M services in 2021 and 2023, respectively. Notably, visits during the postoperative global period were excluded from this increase. It is well-established that pediatric subspecialties, including pediatric otolaryngology, are less well-compensated than their adult counterparts. In this study, we estimated the potential annual revenue increase per academic pediatric otolaryngologist had CMS included global period visits in its revaluation.

Source: Laryngoscope Investigative Otolaryngology

DOI: 10.1002/lio2.70254

Authors: Ashley L. Miller, Vinay K. Rathi, Molly O. Meeker, Lauren E. Miller, Jason Pedicini, Charles A. Elmaraghy

Institutions: Nationwide Children's Hospital, The Ohio State University

Language: English

Topic: Healthcare Policy and Management

Subfield: Economics and Econometrics

Field: Economics, Econometrics and Finance

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,900