Medicare Reimbursement Trends for Facility Performed Otolaryngology Procedures: 2000–2019
Autor: | David M. Barrs, Sophia A. Ederaine, Johanny Lopez Dominguez, David G. Lott, Ana M. Aragon Sierra, Jack M. Haglin |
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Rok vydání: | 2020 |
Předmět: |
Current Procedural Terminology
medicine.medical_specialty Design analysis Databases Factual Medicare Otolaryngology 03 medical and health sciences 0302 clinical medicine medicine Humans Medicare reimbursement 030223 otorhinolaryngology Reimbursement Aged Aged 80 and over business.industry Consumer price index (South Africa) Evidence-based medicine United States Otorhinolaryngologic Surgical Procedures Ambulatory Surgical Procedures Otorhinolaryngology Insurance Health Reimbursement Emergency medicine business Medicaid 030217 neurology & neurosurgery |
Zdroj: | The Laryngoscope. 131:496-501 |
ISSN: | 1531-4995 0023-852X |
DOI: | 10.1002/lary.28749 |
Popis: | OBJECTIVE There is a paucity of data regarding financial trends for procedural reimbursements in otolaryngology. The purpose of this study was to evaluate monetary trends in Medicare reimbursement rates for the 20 most commonly billed otolaryngology procedures from 2000 to 2019. STUDY DESIGN Analysis of physician reimbursement. METHODS The American Academy of Otolaryngology-Head and Neck Surgery database was queried to determine the 20 most performed otolaryngology procedures. Next, the Physician Fee Schedule Look-Up Tool from the Centers for Medicare and Medicaid Services was utilized to assess each of the top 20 most utilized Current Procedural Terminology (CPT) codes in otolaryngology, and reimbursement data was extracted. All monetary data was adjusted for inflation to 2019 U.S. dollars using changes to consumer price index. Average annual and total percentage change in reimbursement were calculated based on adjusted values for all included procedures. RESULTS After adjusting for inflation, the average reimbursement for the total 20 procedures decreased by 37.63% from 2000 to 2019. The greatest single mean decrease was seen in CPT code 61782 for stereotaxis procedures on the skull, meninges, and brain (-59.96%), whereas the smallest mean decrease was in CPT code 30520 for septoplasty (-1.50%). From 2000 to 2019, the adjusted reimbursement rate for the combined procedures decreased by an average of 2.33% each year. CONCLUSION Medicare reimbursement for included procedures has decreased from 2000 to 2019. Increased awareness and consideration of these trends will be important for policy makers, hospitals, and surgeons in order to assure continued access to meaningful otolaryngology care in the United States. LEVEL OF EVIDENCE 4 Laryngoscope, 131:496-501, 2021. |
Databáze: | OpenAIRE |
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