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
Sep 4th, 2018
Comments Off on Medicare Proposes Big E/M Changes
Be aware of three proposals that would make coding these services easier, but also may negatively affect physician reimbursement. The Centers for Medicare & Medicaid Services (CMS) has proposed radical changes that, if finalized, would ease the documentation requirements for new and established outpatient visits, while also creating a uniform payment for evaluation and management ...
In CMS
Jul 26th, 2018
The Centers for Medicare & Medicaid Services (CMS) has posted a 22 minute promotional video hosted by Administrator Seema Verma about the agency’s evaluation and management (E/M) payment changes in the 2019 proposed Physician Fee Schedule. The video features a panel of CMS-related providers, follows up on an introductory video posted earlier this year. Providers will ...
Jul 18th, 2018
Medical professionals and other stakeholders have until September 10 to make a difference in the course of future healthcare reforms. Tucked into a proposed rule to update the Medicare Physician Fee Schedule for 2019, released for public inspection on July 12, the Centers for Medicare & Medicaid Services (CMS) proposes policy changes for Year 3 of the Quality Payment Program ...