ED Coding & Reimbursement Alert - 2019 Issue 10
Evaluation & Management: Feds Nix E/M Blended Payment Proposals
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Article Overview
This article reviews CMS’s reversal of a blended payment proposal and summarizes proposed evaluation and management updates in the CY 2020 Medicare Physician Fee Schedule. It is relevant to coders, billers, physicians, and practice administrators who follow Medicare policy, CPT editorial changes, and documentation/reporting requirements for office and outpatient visits.
Why This Topic Matters
The proposed changes discussed here could affect E/M reporting, documentation workflows, and how practices prepare for Medicare payment and coding updates. Understanding the scope of the proposal helps organizations track regulatory timing and operational impact.
What You Will Learn
- How CMS’s proposed Medicare fee schedule update affects office and outpatient E/M services
- What types of E/M documentation and coding changes are being discussed at a policy level
- Why stakeholders viewed the proposed payment approach as operationally significant
- How the proposed timeline relates to future implementation and comment opportunities
Who Should Read This
- Medical coders
- Medical billers
- Physician practices
- Practice managers
- Compliance staff
- Healthcare attorneys
- Revenue cycle professionals
Codes Discussed
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