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Prepare for modest documentation changes, no modifier 25 cuts in 2019

11/12/2018

The most striking thing you’ll notice about the 2019 outlook for E/M services is not what’s there but what’s missing. The mountainous proposals about flattened pay rates and documentation revisions are on hold for the moment, with CMS deferring to opposition about its pace of change.

QPP Year 3 has few changes, goes easy on small practices, EHR

11/12/2018

by: Roy Edroso

The final 2019 Medicare physician fee schedule’s Quality Payment Program (QPP) and its two components, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM), have few meaningful changes from July’s proposed rule — which may be a sign that, as the program enters its third year, CMS considers it on track to provide the care and cost improvements as intended.

Communications-based services will require planning, good timing

11/12/2018

by: Julia Kyles, CPC

Take a close look at the requirements for the two types of communication technology-based services that Medicare will cover next year and watch for private payers to follow suit. Proper timing and a way to obtain and document patient consent are just two elements required for the services, which will allow doctors and non-physician practitioners (NPPs) to get paid for work that is currently bundled into E/M services.

Round-up: Payment, policy, coding changes in final 2019 Medicare physician fee schedule

11/12/2018

by: DecisionHealth staff

Along with E/M changes for 2019 and beyond, the final 2019 Medicare physician fee schedule contains a plethora of regulations your practice needs to know about for the coming year. The Part B News staff combed through the 2,378 pages to bring you comprehensive coverage of the changes.

Winners and losers of E/M payment changes: An early look at pay-rate impacts

11/12/2018

by: Richard Scott

When it comes to E/M payments, you’ll enter a business-as-usual cycle on Jan. 1 after CMS opted to delay its proposed sweeping changes for two years. But with a vast array of revisions on the books for 2021, it’s not too early to glimpse the financial outcomes of the single-pay rates and other changes looming ahead.

E/M on the horizon: Payment, coding, documentation changes to come

11/12/2018

by: Richard Scott

Wait for it: CMS cued the music then placed its earth-shifting E/M changes on hold for two years. The earliest that medical practices will have to brace for a raft of payment and documentation revisions is Jan. 1, 2021, according to the final 2019 Medicare physician fee schedule released Nov. 1.

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