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In recent months, CMS has made a play at revamping how E/M services are documented and paid for, and the AMA is working in earnest on a rebuttal. Now the Medicare Payment Advisory Commission (MedPAC) is weighing in on the debate and urging lawmakers to be careful about the value attached to E/M codes.

Private health insurers are getting aggressive about auditing providers and prosecuting what they see as fraud — and you should take any communication from them on that score very seriously.
A sudden shortfall in Blue Cross Blue Shield (BCBS)Vermont payments, and the trouble it’s causing some small practices, is a reminder that you should have a financial cushion for your practice in case of emergencies — and make sure to keep it up to date.

Question: My pain management practice is using two forms of risk assessment questioning for our pain management patients -- one cpmputer-based, one on paper. However, the 2019 codes are completely different tham what we were using. How do we code them now?


Various specialties tend to generate different amounts of work relative value units (RVUs) under CMS’ current pricing system, and those differences are tied to payment chasms, a March 15 report from the Medicare Payment Advisory Commission (MedPAC) states.


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