Billing Medicare for G2211: What You Need to Know Now

Beginning this year, Medicare will make payment under the Physician Fee Schedule for HCPCS G2211, the outpatient intensity add-on code.  The impacts of the code were presented during a PYA webinar on February 7, 2024. During the webinar, a panel of PYA experts, including Lori Foley, Valerie Rock, Angie Caldwell, and Martie Ross, discussed the requirements for this new code and its financial impact on physician practices. Topics of discussion included: Services to which the add-on code applies Who can bill the code and in what circumstances What practices stand to lose if they don't bill the add-on code Documentation Potential audit risk areas Approaches to implementation Potential impact on physician compensation formulas This webinar was part of PYA's twice-monthly Healthcare Regulatory Roundup (HCRR), a popular series during which PYA experts provide practical insights on the latest industry regulatory developments. Watch for more HCRR webinars coming soon, and for updates about all of our webinars, check the PYA website and PYA's LinkedIn page. If you would like assistance with legislative or regulatory impacts or any matter involving compliance, valuation, or strategy and transactions, one of our executive contacts would be happy to assist. You may email them below or call (800) 270-9629.