Modifier 25 Media Report

Q6: What are your biggest concerns about the proposed Modifier -25 payment reduction? (rank in order of importance with 1 being the most important)

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Reduced revenue for legitimate same-day E/M visits that are separately identifiable

60.77% 855 10.80% 152 7.53% 106 5.12% 72 5.54% 78 5.19% 73 3.48% 49 1.42% 20 0.14% 2

1.56% 22 10.23% 144 5.69% 80 5.90% 83 7.89% 111 8.88% 125 14.64% 206 44.92% 632 0.28% 4

Increased audit and compliance risk

Adding to a broader pattern of unsustainable Medicare payment cuts 7.96% 112 34.47% 485 19.62% 276 8.74% 123 8.60% 121 9.31% 131 8.46% 119 2.84% 40 0.00% 0

Deterioration of independent medical practice and physician judgement in comprehensive patient care

3.48% 49 8.96% 126 22.81% 321 22.96% 323 12.58% 177 11.58% 163 12.72% 179 4.90% 69 0.00% 0

7.32% 103 9.10% 128 12.44% 175 21.04% 296 22.81% 321 13.93% 196 9.45% 133 3.84% 54 0.07% 1

Decline in the standard of care for Medicare patients

2.56% 36 6.97% 98 9.67% 136 13.15% 185 16.70% 235 25.94% 365 16.42% 231 8.60% 121 0.00% 0

Increased fragmentation of care and undermining continuum of care

Inconvenience to patients with longer waits, additional travel, increased caregiver responsibilities, higher out-of-pocket costs

6.33% 89 10.02% 141 12.65% 178 12.94% 182 13.29% 187 14.71% 207 23.53% 331 6.40% 90 0.14% 2

Delayed care leading to missed diagnoses, postponed treatment, and quality of life impacts

9.67% 136 9.31% 131 9.59% 135 10.02% 141 12.58% 177 10.45% 147 11.16% 157 26.23% 369 1.00% 14

0.36% 5 0.14% 2 0.00% 0 0.14% 2 0.00% 0 0.00% 0 0.14% 2 0.85% 12 98.37% 1384

I have no significant concerns

www.ENTsCare4Medicare.org

AAO-HNS survey • n=1,406