2023 Medical Coding and Billing Toolkit

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12/8/2022

Andrew Hajde, CMPE

MGMA Government Affairs

Veronica Bradley, CPC, CPMA

These member tools provide comprehensive understanding of CPT® and ICD-10 coding changes effective for 2023, chart audits and elements of medical decision making, as well as the Medicare fee schedule.

Analysis: Final 2023 Medicare Physician Payment and Quality Reporting Changes

As a member benefit, MGMA developed a comprehensive analysis of the 2023 Medicare Physician Fee Schedule (MPFS) final rule, which contains payment and coding updates for Medicare services, modifications to telehealth, changes to the Quality Payment Program (QPP), and more. This analysis explains the changes to Medicare quality reporting and to payment policies that will impact your practice in 2023.

A recent omnibus spending bill is set to update 2023 Medicare physician pay rates. Subscribe to the Washington Connection weekly newsletter for updates on MGMA’s ongoing advocacy and updates to these resources.
To learn more about the federal payment landscape for 2023, watch the on-demand version of MGMA Government Affairs’ “2023 Medicare Outlook” webinar.

2023 Medicare Physician Fee Schedule Tool (Facility and Non-Facility)

The 2023 Medicare Physician Fee Schedule Tool (Facility and Non-Facility) is designed to output the Medicare fee schedule based on data from the 2023 final rule. The tool allows you to select your locality and view what the proposed Medicare facility or non-facility reimbursement is projected to be. You can also enter a personalized percentage for providers who have contracts that are based on a percentage of Medicare.

2021, 2022 and 2023 Work RVU (wRVU) Variance Calculator

This tool allows you to calculate the work RVU (wRVU) impact — based on the CPT® code and volume for an individual provider or a combined group of providers — from 2021 wRVU values to 2022 and 2022 values to 2023.

2023 CPT^® Medical Coding Updates

This member-exclusive resource includes major CPT^® code revisions taking effect Jan. 1, 2023, including new codes, revised codes, and new, revised and deleted phrasings.

For more information, read "Key changes to 2023 CPT® E/M codes and guidelines."

ICD-10-CM Coding and Reporting Updates for FY 2023

This downloadable guide includes a summary of updates made to ICD-10-CM Official Guidelines for Coding and Reporting for fiscal year (FY) 2023, effective Oct. 1, 2022, through Sept. 30, 2023.

Written By

Andrew Hajde, CMPE

Written By

MGMA Government Affairs

Written By

Veronica Bradley, CPC, CPMA

Veronica Bradley, CPC, CPMA, is a Senior Industry Advisor with MGMA and is CPC and CPMA certified. She has over 20 years’ experience in medical coding and auditing in various specialties. She is also well-versed hierarchical condition category and risk adjustment coding. Other areas of expertise include evaluation and management, procedural coding, Medicare reimbursement, and other critical factors in coding and auditing. Veronica has worked in private practice, group practices, academic school of medicine and hospitals. She focuses on educating based coding guidelines and code capture accuracy for all medical practice staff and believes coders must build rapport with healthcare providers to ensure healthy communication as necessary in the charge capture process. Veronica received a bachelor’s degree from Regis University in Denver, Colorado in Health Information Management with a minor in Healthcare Administration. In her free time, Veronica appreciates spending time with her family enjoying the beautiful Colorado scenery.