decisionhealth Newsletters, Coder Pink Sheets - 2018 Issue 9 (September)
Office visit E/M pay rates proposed for 2019
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Article Overview
This article summarizes proposed Medicare physician fee schedule changes affecting office visit evaluation and management payment rates for 2019. It is relevant for coders, billing staff, and revenue cycle teams who need to understand the scope of the proposal and compare the affected office visit levels across new and established patient services. The article presents fee comparisons and notes that the figures are national averages for nonfacility, Medicare-participating providers.
Why This Topic Matters
Proposed changes to office visit E/M payment rates can affect reimbursement expectations, budgeting, and revenue planning for practices that bill Medicare. The article helps readers quickly identify which service levels are included in the proposal and where payment differences may occur.
What You Will Learn
- Which office visit E/M services are included in the proposed Medicare payment changes
- How the proposed national average nonfacility fee comparison is presented
- What broad reimbursement areas may be affected by the 2019 fee schedule proposal
- How the article frames the relationship between current and revised office visit payment rates
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Practice managers
- Physician office administrators
Codes Discussed
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