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As health care continues its push away from fee for service, your payers are accelerating ways to address patients’ health concerns that traditionally have fallen outside of the physician-provider relationship. From coding updates to evolving plan design, much of the focus is on one thing: social determinants of health.

You can dismiss a lot of the controversial updates to office E/M services, such as blended payment rates, that drew an outcry from the medical community. But you’re now on the clock to get in line with far-reaching documentation changes for these oft-used services, according to the 2020 proposed Medicare physician fee schedule released July 29.


If your practice wants to prepare for a transition to value-based care, experts advise following the successful strategies laid out by top accountable care organizations (ACOs) in a new report.


Readers of the 2020 proposed Medicare physician fee schedule (PFS) are probably trying to figure out how the new E/M rules will affect their reimbursement. But CMS has already looked at last year's volume and mix of services provided by each provider specialty and assessed the effect of the proposed fee schedule on them.


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