Round-up: Payment, policy, coding changes in final 2019 Medicare physician fee schedule

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews broad changes in the final 2019 Medicare physician fee schedule, including payment updates, telehealth expansion, reporting requirements, and selected coding-related revisions. It is useful for physicians, coders, billers, compliance staff, and practice managers who need a high-level view of what changed for 2019 and what was scheduled for later implementation. The coverage spans Medicare Part B policy updates, CMS program adjustments, and several specialty-specific items without serving as a step-by-step coding guide.

Why This Topic Matters

The fee schedule affects reimbursement, documentation workflows, telehealth availability, quality reporting, and coding-related operations across many specialties. Understanding the scope of these changes helps practices anticipate administrative and operational impacts for the year ahead.

Article Sections

  1. Payment changes

    Discusses overall fee schedule payment updates and related Medicare Part B reimbursement adjustments for 2019.

  2. Policy changes

    Covers telehealth, site-of-service, reporting, quality program, and other CMS policy changes that affect Medicare participating practices and facilities.

  3. Coding changes

    Summarizes selected code-related updates, including list changes, review activity, and specialties likely affected.

What You Will Learn

  • Which broad Medicare payment and policy areas changed in the 2019 physician fee schedule
  • How telehealth-related coverage and originating-site policies were expanded
  • What kinds of reporting and quality program changes CMS finalized for 2019 and later
  • Which coding-related topics and specialty service areas were highlighted in the final rule

Who Should Read This

  • Physician practices
  • Medical coders
  • Medical billers
  • Compliance staff
  • Practice managers
  • Revenue cycle teams
  • Health care consultants

Codes Discussed

Modifiers Discussed


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