The Impact of Code Bundling on Medicare Volume and Reimbursements Within Endoscopic Sinus Surgery
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Wiley
2024
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| author | Derek H. Liu Sina J. Torabi Benjamin F. Bitner Edward C. Kuan |
| author_facet | Derek H. Liu Sina J. Torabi Benjamin F. Bitner Edward C. Kuan Derek H. Liu Sina J. Torabi Benjamin F. Bitner Edward C. Kuan |
| collection | Wiley Open Access |
| contents | The Impact of Code Bundling on Medicare Volume and Reimbursements Within Endoscopic Sinus Surgery Derek H. Liu Sina J. Torabi Benjamin F. Bitner Edward C. Kuan Otolaryngology–Head and Neck Surgery AbstractIn 2018, Medicare introduced new codes to the Endoscopic Sinus Surgery (FESS) and balloon sinus dilation (BSD) families of Current Procedural Terminology (CPT) codes. Using the Medicare Part B National Summary Data File from 2010 to 2022, an interrupted time‐series analysis examined trends in volume and reimbursements before and after 2018. Prior to 2018, volume and reimbursements for FESS grew at a mean rate of 2.5% ± 2.2% per year and 6.9% ± 6.6% per year, respectively, before reimbursements decreased significantly in 2018 by −13.9% (P = .014), leading to a stabilization of volume (growth of 0.72%, P = .602). Volume and reimbursements for BSD saw rapid growth from 2011 to 2015 which plateaued prior to the introduction of bundled codes and did not appear to change significantly in 2018 (−0.6%, P = .306 and 11.9%, P = .392, respectively). In addition to concurrent devaluation of FESS and BSD codes, bundling appears to have further contributed to falling reimbursements in rhinology. 10.1002/ohn.987 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1002/ohn.987 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_ohn_987 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | The Impact of Code Bundling on Medicare Volume and Reimbursements Within Endoscopic Sinus Surgery Derek H. Liu Sina J. Torabi Benjamin F. Bitner Edward C. Kuan Otolaryngology–Head and Neck Surgery The Impact of Code Bundling on Medicare Volume and Reimbursements Within Endoscopic Sinus Surgery Derek H. Liu Sina J. Torabi Benjamin F. Bitner Edward C. Kuan Otolaryngology–Head and Neck Surgery AbstractIn 2018, Medicare introduced new codes to the Endoscopic Sinus Surgery (FESS) and balloon sinus dilation (BSD) families of Current Procedural Terminology (CPT) codes. Using the Medicare Part B National Summary Data File from 2010 to 2022, an interrupted time‐series analysis examined trends in volume and reimbursements before and after 2018. Prior to 2018, volume and reimbursements for FESS grew at a mean rate of 2.5% ± 2.2% per year and 6.9% ± 6.6% per year, respectively, before reimbursements decreased significantly in 2018 by −13.9% (P = .014), leading to a stabilization of volume (growth of 0.72%, P = .602). Volume and reimbursements for BSD saw rapid growth from 2011 to 2015 which plateaued prior to the introduction of bundled codes and did not appear to change significantly in 2018 (−0.6%, P = .306 and 11.9%, P = .392, respectively). In addition to concurrent devaluation of FESS and BSD codes, bundling appears to have further contributed to falling reimbursements in rhinology. 10.1002/ohn.987 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | The Impact of Code Bundling on Medicare Volume and Reimbursements Within Endoscopic Sinus Surgery |
| topic | Otolaryngology–Head and Neck Surgery |
| url | https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.987 |