<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.
Authors
- Vinay K. Rathi (ORCID: https://orcid.org/0000-0002-9763-9075)
- Lauren E. Miller (ORCID: https://orcid.org/0000-0002-5458-0544)
- Charles Elmaraghy (ORCID: https://orcid.org/0000-0002-1890-2876)
- Ashley L. Miller (ORCID: https://orcid.org/0000-0002-7111-4393)
- Molly O. Meeker (ORCID: https://orcid.org/0009-0007-8686-8917)
- Jason Pedicini
Institutions
- Nationwide Children's Hospital (US)
- The Ohio State University (US)
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
- Field-Weighted Citation Impact
- 0.00