The proposed documentation changes will require retraining an entire industry. EDITOR’S NOTE: The public comment period for the 2019 proposed MPFS closes Monday, Sept. 10, 2018. The 2019 proposed Medicare Physician Fee Schedule has clearly articulated the Centers for Medicare & Medicaid (CMS) goal of “patients over paperwork.” I think…
CMS engages in lively discussion about the proposed 2019 MPFS. The Centers for Medicare & Medicaid Services (CMS) was asked yesterday by a listener if the agency considers their proposal to change the method of selecting the E&M code by using time, medical decision-making, or the current system and the change to…
2019 E&M changes will impact all areas of practice management. Far-reaching impacts to work relative value unit (RVU)-based compensation models that will pay providers in full or part are expected if the Centers for Medicare & Medicaid Services’ (CMS’s) proposed evaluation and maintenance (E&M) changes become a final rule. In…
The proposal would present a dangerous precedent for all of medicine. On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule on the 2019 Medicare Physician Fee Schedule (CMS-1693-P). In what they say is an attempt to reduce physician burden, CMS is proposing to…
Condition 44 is one of three perplexing issues reviewed by the author.  Last week was a boring regulatory week, other than the continuing talk about the proposed changes to evaluation and management (E&M) coding. That continues to dominate discussions, with ongoing negativity by the physician community. Without new regulatory controversy,…
Practices need to get a handle on both their financial and RVU impacts. Recently, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that would change the face of evaluation and management (E&M) codes as we have known them. Since 1992, E&M codes have been leveraged to…
The proposal is on the table as part of proposed E&M changes. By now I am sure that everyone is well aware that the Centers for Medicare & Medicaid Services (CMS) has proposed modifications to the reimbursement model for the outpatient/office evaluation and management (E&M) code sets, as well as…
A proposed 50 percent reduction in claims submitted with modifier 25 is on the table. The Centers for Medicare & Medicaid Services (CMS) is proposing a 50 percent reduction in reimbursement for claims submitted using modifier 25, according to Shannon DeConda, an evaluation and management (E&M) coding expert. DeConda reported…
CMS is proposing major changes to overhaul E&M services. As I read through more and more articles and white papers on the new proposed 2019 evaluation and management (E&M) changes, I got more rather than less confused. It feels like the Centers for Medicare & Medicaid Services (CMS) had this…
Reactions have been particularly negative thus far.. Outrage, disbelief, and anger tend to characterize the tone of comments regarding the Centers for Medicare & Medicaid Services’ (CMS’s) proposed evaluation and management (E&M) code changes tucked into the recently posted 2019 Medicare Physician Fee Schedule. And although CMS has indicated that…
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