
08/12/2025
Medicare’s Historic Pay Cut to Specialists – What You Need to Know
Attention all specialists: Proposed federal legislation may lead to a 2.5% decrease in Medicare payments to specialists, impacting over 10,000 commonly billed CPT codes utilized by cancer surgeons, general surgeons, medical oncologists, and radiation oncologists. The aim behind this "efficiency adjustment" is to allocate a corresponding 2.5% increase in payments to primary care providers.
Positive News for Cancer Specialists:
Fortunately, these cuts will not influence reimbursements for patient navigation services, which are likely already part of your daily routine. Despite this, many practices overlook billing for these services, resulting in a missed opportunity of over $500 per patient. This revenue remains unclaimed either due to providers being unaware of their reimbursement eligibility by Medicare and various insurers or lacking the means to capture this revenue. This is where XpediteMD can assist!
If you or your staff engage in the following activities (whether in-person or via telehealth), you might be missing out on potential revenue:
- Scheduling imaging or biopsy procedures
- Coordinating specialist referrals or communicating with other providers
- Reviewing results with patients remotely
- Providing language translation services
- Completing prior authorizations
- Conducting peer-to-peer consultations
- Assisting with disability or return-to-work forms
- Tracking down reports or test results
- Conducting patient check-ins via phone, text, or portal
Seizing the Opportunity:
XpediteMD offers a seamless solution to document, code, bill, and collect payments for the services you and your staff are already delivering, all without adding to your workload.
📅 Explore more in our upcoming webinar for cancer providers
: https://www.xpeditemd.com/webinar-august-2025
Alternatively, feel free to contact me directly at Dennis.Holmes@XpediteMD.com to kickstart the process of capturing this untapped revenue stream.