Outpatient surgical facility status decreasing billing for new Medicare pts?

[GIJohn]

I work at a G.I. clinic that also has a endoscopy suite. I’m told this classifies us as an outpatient surgical facility. As such new Medicare patients that have NOT been seen by our office, but rather seen by anyone in ourhospital owned  system within the three years now becomes an established patient. This changes a 99204 patient to a 99214 patient And cats over and cuts 1/3 of my RVUs. 

 

I’m told they do this so they could charge an extra facility fee For procedures. However it’s all this is done at my expense.

 

I was debating Asking for a modification of my RV/productivity numbers because of it. Does anyone else have this problem?