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

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.

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Publication Details

Journal
Laryngoscope Investigative Otolaryngology
Published
2025-09-22
DOI
https://doi.org/10.1002/lio2.70254
Primary Topic
Healthcare Policy and Management
Type
article
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article

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

Vinay K. Rathi, Lauren E. Miller, Charles Elmaraghy, Ashley L. Miller et al.
Laryngoscope Investigative Otolaryngology
Healthcare Policy and Management
article

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

Vinay K. Rathi, Lauren E. Miller, Charles Elmaraghy, Ashley L. Miller, Molly O. Meeker, Jason Pedicini
article en

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.

Laryngoscope Investigative OtolaryngologyVol. 10(5)
Nationwide Children's Hospital (US), The Ohio State University (US)
Openalex Percentile: Top 66%
Healthcare Policy and Management
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<scp>CMS</scp> Exclusion of Global Period Visits From E/M Payment Reform: Estimated Payment Loss for Pediatric Otolaryngologists — Vinay K. Rathi, Lauren E. Miller, et al. · Laryngoscope Investigative Otolaryngology (2025) | TGRS Research Map | TGRS