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E/M in flux: Key documentation changes loom, payment boost anticipated

08/12/2019

You’ll feel significant ramifications from the shaken-up orb of E/M coding after CMS tethered far-ranging documentation standards and potentially massive payment revisions to the AMA’s vision moving forward. The vast changes, set to arrive Jan. 1, 2021, could add billions of dollars to the national E/M revenue stream.

For QPP 2020, fairer MIPS cost scoring emerges amid array of smaller changes

08/12/2019

by: Roy Edroso

Perhaps the most momentous Quality Payment Program (QPP) news in the proposed 2020 Medicare physician fee schedule is the Pathways (MVP) version of the Merit-based Incentive Payment System (MIPS) — but that’s not happening until 2021. For next year, it’s mostly small changes, except for a redesign of the MIPS cost category that could make that calculation fairer to clinicians.

CMS preview of new CPT codes includes E/M, radiology and medicine updates

08/12/2019

by: Julia Kyles, CPC

Based on a review of the proposed valuation of specific codes for CY 2020 within the proposed Medicare physician fee schedule, you’ll find at least 101 new codes scattered throughout your 2020 CPT manual, from E/M services to medicine.

CMS proposes to loosen supervision requirements for PA, CRNAs

08/12/2019

by: Roy Edroso

Some non-physician practitioners (NPPs) and the practices that increasingly rely on them are set to get a break from CMS in 2020, should significant scope-of-practice updates in the proposed 2020 Medicare physician fee schedule take hold.

The floor falls on GPCIs in 40 regions — with no rescue in sight

08/12/2019

by: Roy Edroso

Unless Congress acts fast — and there’s no sign that it will — the work Geographic Practice Cost Indices (GPCI) floor of 1.0 will fall away for providers in 40 geographic areas in 2020, cutting into provider reimbursement in those regions.

CMS refines electronic E/M, seeks medical record burden reduction — and much more

08/12/2019

by: DecisionHealth staff

Take stock of more key takeaways from the proposed 2020 Medicare physician fee schedule, including updates to remote-care codes, efforts to reduce the burden of medical record documentation, expanded coverage areas and much more.

Money in motion: The top 10 winners and losers from 2020 proposed rates

08/12/2019

by: Richard Scott

Cue the drum roll: After analyzing the numbers and poring over the inputs, a Part B News analysis turned up some big winners and unfortunate losers from the proposed 2020 Medicare physician fee schedule.

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