In CMS
Jul 20th, 2018
If you’ve read about the Centers for Medicare & Medicaid Services’ (CMS) proposed changes for the  documentation, coding, and reimbursement of outpatient evaluation and management (E/M) service codes 99201-99215, you probably have some questions (If you haven’t read about the changes, do it!). Now, CMS is providing some answers. Following remarks by CMS Administrator Seema Verma, ...
In CMS
Jul 17th, 2018
Centers for Medicare & Medicaid (CMS) Administrator Seema Verma detailed plans to revamp evaluation and management (E/M) in a letter to physicians July 17th. But don’t start worrying about the codes changing. The letter, released in CMS’ MLNconnects newsletter, criticizes the current 5 level office visit codes, which Verma claims make up 40 percent of Medicare ...
In Billing
Jul 17th, 2018
The conversion factor (CF) that is used to determine payments under Medicare Part B will be adjusted upward slightly for 2019, meaning a slight overall rise in payments to providers who accept Medicare patents. The projected change, issued as part of the Physician Fee Schedule and Other Revisions to Part B for CY 2019 proposed ...
In Audit
Jul 17th, 2018
  Proposed changes in the Medicare Physician Fee Schedule (MPFS) for 2019 will change proposed reimbursement single evaluation and management (E/M) rates. Here’s a way for medical coders to see how much the new routes may affect your workplace’s reimbursement. This exercise will also help you determine what to share with CMS during the comment ...
In CMS
Jul 16th, 2018
Virtual care—also known as telehealth or telemedicine—leverages technology (such as audio/video applications or patient-accessed health portals) to allow patients quick and convenient remote access to quality healthcare. Now, the Centers for Medicare & Medicaid Services (CMS) is proposing increased coverage for virtual care services. Per CMS: Provisions in the proposed CY 2019 Physician Fee Sc...