In the Medicare Physician Fee Schedule (MPFS) proposed rule for 2019 payment policies, the Centers for Medicare & Medicaid Services (CMS) introduces radical changes to the way healthcare practitioners would be reimbursed for evaluation and management (E/M) services furnished to their Medicare Part B patients beginning in 2019. At the crux of the debate that ensued with the ...
In Coding
Sep 4th, 2018
As the Centers for Medicare & Medicaid Services (CMS) makes the proposal to change evaluation and management (E/M) payment based on this new approach, why aren’t CPT® E/M codes changing this year? Good Question! Here’s the Answer CPT® doesn’t include Medicare rules and guidelines – only American Medical Association (AMA) guidelines. Changes made for Medicare ...
In CMS
Aug 8th, 2018
During a July 18, 2018 CMS Twitter™ podcast, CMS National Coordinator for Health Information Technology, Donald Rucker, M.D. defended the new CMS 2019 proposal to make documentation of the History optional for health records. He was asked, “In light of technology’s thirst for data to identify best practices and construct predictive algorithms, is it possible ...
Jul 19th, 2018
By now, many of you have read or at least heard about the proposed changes to E/M service reporting included in the CMS proposed rule relating to the 2019 Medicare Physician Fee Schedule.  This proposal was published in the July 27, 2018 Federal Register.  Because there are only sixty (60) days to submit comments, the ...
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 ...