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CMS E/M Services Documentation Guidelines and Burden Reduction Listening Session

  1. #31
    Clearnace Sale
    CMS did the same thing when they did their Proposed Rules Webinar, so if you listened/read to that one you shouldn't be too surprised.

    I liked that they followed an outline, and they allowed for Q&A sessions. To be truthful, I hung up after Verma (CMS Admin) was done speaking. My time today was limited anyways, but I figured I'd catch up reading the transcript later.

    AAPC sums up some of the more pertinent 2019 changes on page 19:

    I'll post more once I've read the transcript.
    "Without hard work, nothing grows but weeds"
    -Gordon B. Hinckley

  2. #32
    Ok, the Session transcript has now been posted and is available on MLN's site here:

    Physician Fee Schedule Final Rule: Understanding 3 Key Topics Call

    I recommend reading or listening to the whole session: Audio here

    A few quick takeaways:

    1) A FAQ is supposed to be released which should answer most of the questions asked in the session
    2) Telehealth was brought up several times
    3) Quality measures were discussed
    4) PFS 200 covered professional services were talked about as well (under Quality really)

    I enjoyed the session, however I can't wait to get my hands on the FAQ if it truly will be as great as the presenters are hinting at.

    More to come still.
    "Without hard work, nothing grows but weeds"
    -Gordon B. Hinckley

  3. Default Have the FAQs been released yet?
    Has anyone seen the FAQs that CMS referenced in the call? I've looked and haven't seen them yet.

  4. #34
    I did receive an email from the CMS MLN Events Team, which did include a link to a FAQ. However, the FAQ only addressed one E/M question, and two other MIPS and Quality questions. I held back from posting it here, as I was hoping to get more information from CMS.

    Regardless, here is the link to the FAQ I received:

    What parts of the history can be documented by ancillary staff or the beneficiary starting in CY 2019? Answer

    How does the MIPS payment adjustment apply to clinicians, especially those who may switch practices during the performance year?

    A. Below are the general rules on how the payment adjustment is applied, which is different than the legacy programs.

    1. A MIPS eligible clinician (NPI) who bills to the same TIN in the payment year as they did during the performance period will be assessed the payment adjustment under that TIN/NPI combination according to the final score earned from data submitted/collected under that TIN

    2. A MIPS eligible clinician (NPI) who bills to a (new) TIN in the payment year that they did NOT bill to during the performance period will be assessed the payment adjustment under that (new) TIN/NPI combination based on the most advantageous final score attributed to that NPI under any TIN/NPI combination for the performance period

    Are there any changes to the data completeness requirements for the MIPS Quality performance category in 2019?

    A. No, the data completeness requirements are the same as in Year 2 (2018) even with the update to the submission terminology. Individual clinicians or groups submitting quality measure data on QCDR measures, MIPS CQMs, and eCQMs must submit data on at least 60% of the clinician or groupís patients that meet the measureís denominator criteria, regardless of payer. Individual clinicians or groups submitting quality measure data on the Medicare Part B claims measures must submit data on at least 60% of the applicable Medicare Part B patients seen during the performance period.
    "Without hard work, nothing grows but weeds"
    -Gordon B. Hinckley

  5. Default
    I received the same email and haven't seen the full list of FAQ's posted as of yet.

  6. #36
    Did they release the FAQ yet?

  7. #37
    I have not seen anything else other than the post I made a few posts up. I would assume the FAQ would be public soon though.
    "Without hard work, nothing grows but weeds"
    -Gordon B. Hinckley

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