In CMS
Nov 14th, 2018
Earlier this year, as part of its 2019 Physician Fee Schedule Proposed Rule, the Centers for Medicare & Medicaid Services (CMS) raised the possibility that it might reduce by 50 percent payments for same-day E/M services provided with procedures. Now, with the release of the 2019 Physician Fee Schedule Final Rule, CMS has reversed the ...
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 ...