decisionhealth Newsletters, Coder Pink Sheets - 2019 Issue 9 (September)
New codes, quality-reporting updates emerge from 2020 proposed rule
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Article Overview
This article summarizes proposed 2020 updates affecting CPT code development, CMS Quality Payment Program and MIPS policy, telehealth, therapy modifiers, documentation flexibility, and other Medicare payment issues. It is designed for coders, billers, compliance staff, and practice administrators who need to track upcoming code-set changes and reporting policy shifts without reading the full proposed-rule discussion.
Why This Topic Matters
The proposed changes affect how practices prepare for new code sets, quality reporting, documentation workflows, and modifier usage. Understanding the scope of the rule helps organizations anticipate operational and compliance impacts before final policies are released.
Article Sections
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New codes and code-set updates for 2020
An overview of proposed new CPT and G code activity across multiple service areas, including several categories of procedure and diagnostic reporting. The section highlights the broad types of code changes expected for the coming year.
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Quality Payment Program updates
A summary of proposed changes affecting QPP, MIPS, and future pathway-based reporting concepts. The section also covers proposed scoring and threshold adjustments.
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Other news and highlights
Additional proposed policy changes related to documentation, potentially misvalued services, therapy billing, telehealth, shared savings alignment, and physician assistant supervision. The section provides a broader look at operational and payment policy topics in the rule.
What You Will Learn
- The main categories of proposed 2020 CPT and G code updates
- Which areas of Medicare quality reporting are changing
- How CMS is proposing to adjust documentation and record-keeping flexibility
- What other payment-policy and telehealth topics are addressed in the proposed rule
- Which code sets and modifiers are specifically mentioned in the article
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Physician administrators
- Health policy readers
Codes Discussed
Modifiers Discussed
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