ED Coding & Reimbursement Alert - 2018 Issue 9
News You Can Use: Get Your First Look at the Proposed E/M Revisions for 2019
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Article Overview
This article reviews proposed CMS changes for CY 2019 that would affect evaluation and management documentation and payment under the Medicare Physician Fee Schedule. It is aimed at coders, billers, compliance staff, and clinicians who need a high-level understanding of the direction of the rulemaking, the documentation concepts under consideration, and the related payment policy changes discussed in the proposal.
Why This Topic Matters
The proposals described could change how common office/outpatient E/M services are documented and paid, so readers in coding, billing, compliance, and practice management need to know what areas are under review and what kinds of revisions CMS is considering.
Article Sections
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Check Out These E/M Changes
Overview of the proposed CMS revisions affecting E/M documentation and payment policy for office/outpatient services. The section summarizes the main areas of change being discussed for 2019.
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Important
Discussion of broader CMS rationale for revisiting E/M valuation and documentation standards. The section also touches on proposed payment structure changes and related add-on concepts.
What You Will Learn
- What kinds of E/M documentation changes CMS proposed for 2019
- How the proposed Medicare Physician Fee Schedule would affect office/outpatient E/M services
- Which general payment-policy areas were included in the proposed rule
- Why the proposed changes matter to coding and billing workflows
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians and clinical documentation staff
- Practice managers
Codes Discussed
Code Ranges Discussed
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