E/M Coding Alert - 2019 Issue 10
Review 5 Fee Schedule Key Points
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Article Overview
This article reviews several high-level policy items tied to the 2020 Medicare Physician Fee Schedule and related CMS rulemaking. It is intended for medical coders, billing professionals, compliance staff, and providers who want a concise update on documentation relief, telehealth expansion for opioid use disorder treatment, physician assistant practice flexibility, fee schedule payment trends, and ongoing Physician Self-Referral Law discussion. The article focuses on the general scope of these proposals and why they matter for day-to-day reimbursement and compliance monitoring.
Why This Topic Matters
These proposals affect documentation workflow, telehealth billing awareness, supervision arrangements, and broader Medicare payment and compliance policy. Readers who track CMS rulemaking can use the article to identify which areas may require closer review as policies evolve.
Article Sections
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Documentation reduction proposals
Discusses proposed changes to documentation requirements and related clinician verification processes within the Medicare fee schedule context.
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Telehealth options for opioid use disorder treatment
Summarizes proposed additions related to telehealth and bundled episodes of care for opioid use disorder treatment under HCPCS.
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Physician assistant supervision flexibility
Covers proposed updates involving physician assistants and supervision arrangements under CMS policy.
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Medicare Physician Fee Schedule conversion factor
Notes the broader payment update environment and the annual conversion factor change discussed in the article.
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CMS request for comments on Stark Law
Describes CMS activity related to the Physician Self-Referral Law and the agency’s request for further stakeholder input on advisory opinion process issues.
What You Will Learn
- What broad policy changes CMS is considering in the 2020 Medicare Physician Fee Schedule
- How telehealth-related opioid use disorder treatment proposals fit into the fee schedule update
- What areas of documentation and supervision policy are being revisited by CMS
- Why stakeholders are being asked to weigh in on Stark Law-related process questions
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians and clinical practice administrators
- Health system reimbursement teams
Codes Discussed
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