tci Medicare Compliance & Reimbursement - 2019 Issue Q3

Evaluation & Management: CMS Cuts Blended E/M Rate in MPFS Proposal

The 2020 rule aims to fix other E/M issues, too. Recent evidence suggests that stakeholder feedback really does impact the Medicare proposals. However, as the feds continue to streamline documentation and reverse policies midstream because of the public’s voracious input, it’s open for debate whether all the changes are really helping providers and healthcare. Context: The Centers for Medicare & Medicaid Services (CMS) reversed course on its 2019 E/M blended payments’ promises in the Calendar Year (CY) 2020 Medicare Physician Fee Schedule (MPFS) proposed rule, published in the Federal Register on August 14. The agency chucked last...

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