Last week CMS released their proposed fee schedule for 2023 now usually this is a non-event but not this year this year in addition to releasing the proposed fee schedule they released a number of changes to how CMS is going to pay doctors as well as the number of other things the biggest change a proposed change in the way office visits are reimbursed CMS is proposing to go from five levels to two in the new proposed fee schedule there'll be a payment for a level one code and then the same payment for levels two through five let's take a look at the numbers a little bit CMS are proposing that a level two will go from $45 to about $92 a level five on the other hand will go from about one hundred and fifty dollars today to ninety two dollars one getting a huge increase and the other one getting a huge cut now CMS is not proposing to spend any additional money their money or their expenditures would be roughly equal under either program what they're doing is in essence redistributing that money or redistributing income so let's take a look at the winners or losers first of all primary care internal medicine family practice net neutral both specialties would get a roughly the same amount of money in 2023 as 2023 where this really impacts is the specialists and what it does is it takes those specialists that tend to have shorter visits namely many other surgical specialties and some of the lower complexity non surgical specialties and it gives them more money and those specialties that end up having longer or more complex visits it takes money away from them but in perspective under this proposal dermatologists would get about a 25%...
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