Get the Scoop on 5 Fee Schedule High Points

Why This Topic Matters

These fee schedule updates can affect documentation workflows, coverage administration, teaching physician arrangements, prescribing systems, and annual performance programs. Understanding the broad policy changes helps practices and billing teams stay aligned with Medicare requirements.

Article Sections

1. Medical documentation requirements

   Discusses updates to Medicare documentation rules for physicians and nonphysician practitioners, including therapists. The section focuses on how the final rule clarifies record review and verification processes.

2. NCDs

   Summarizes the removal of certain outdated or obsolete National Coverage Determinations effective in 2021. It also notes the role of Medicare Administrative Contractors in coverage administration.

3. Teaching physicians

   Covers policy changes affecting teaching physician interactions with residents. The section addresses the use of real-time audio/video for meeting certain requirements.

4. E-Prescribing

   Reviews the finalized electronic prescribing policy for controlled substances under the Medicare rule. It highlights the use of a single national standard and the timing of implementation.

5. Quality Payment Program (QPP)

   Addresses selected Quality Payment Program policies finalized for the year. The section includes general program updates, hardship considerations, and the status of the MIPS Value Pathways initiative.