Healthcare News: 2019 MPFS proposed rule includes updates to E/M reporting and removal of certain QPP quality measures

Why This Topic Matters

The proposed rule affects how Medicare payment and quality reporting policies may change for the coming performance year, making it relevant for organizations that need to monitor documentation, reporting, and compliance updates.

Article Sections

1. Overview of the 2019 MPFS proposed rule

   Introduces the main policy areas addressed in the proposed rule and the general Medicare payment context. It frames the article’s focus on physician fee schedule updates and related reporting changes.

2. Payment policy updates for Part B drugs and the conversion factor

   Summarizes proposed payment adjustments affecting drug reimbursement methodology and the annual conversion factor. It places these changes within broader Medicare payment policy updates.

3. Revisions to E/M office and outpatient visit reporting

   Covers proposed changes to documentation and reporting for office and outpatient evaluation and management visits. The section addresses the framework being updated for visit reporting and documentation expectations.

4. Year three Quality Payment Program proposals

   Describes proposed updates for the next phase of the Quality Payment Program and identifies the affected participation pathways. It also discusses broader changes to quality measure selection and interoperability-related policy.

5. CMS fact sheets and rule timeline

   Notes supporting CMS materials and the schedule for publication and public comment. This section provides administrative timing information for readers tracking the rulemaking process.