tci Medicare Compliance & Reimbursement - 2018 Issue 15

Reimbursement: Specialty May Determine Pay Gains with CY 2019 MPFS Proposal

Hint: Suggested E/M documentation changes could balance shortcomings. If a big part of your Medicare pay is tied to evaluation and management (E/M) office visits, you may be concerned about recent proposals from CMS. But depending on your specialty and the number of patients you see yearly, you may be in for a pleasant surprise. Background: On July 12, CMS released the Medicare Physician Fee Schedule (MPFS) for CY 2019 with “historic” changes to E/M billing, payment, and documentation for office visit codes (99201-99215), according to the report. The long-awaited documentation proposals, which were published in the Federal...

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