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08/26/2019
Many providers and medical groups are expressing dismay at the rate cuts expected to hit two frequently billed codes for cataract surgery in 2020, warning that sharp pay declines could harm patient care and break the bank, particularly in rural areas.
08/26/2019

Added pressure in the lives of physicians leaves them uniquely vulnerable to suicide; some extra sensitivity and outreach may reduce the risk.

08/19/2019
You’ll find reason to cheer the expected payments for frequently reported codes in 2020 if you conduct a steady stream of transitional care management (TCM), X-rays and other services. You may be less enthused if your bread-and-butter encounters involve vision testing or CT scanning.
08/19/2019

CMS believes that lots of work and low pay are making doctors avoid care management services, but it has a number of ideas designed to boost utilization.

08/19/2019

Perhaps the biggest news impacting your participation in the Quality Payment Program (QPP) doesn’t have to do with 2020 (PBN 8/12/19). The Pathways (MVP) version of the Merit-based Incentive Payment System (MIPS) is slated to launch in 2021 and offers sufficiently meaningful changes that you may expect some transitional bumps that year.
 

08/19/2019

If the codes CMS just cleared to be billed with transitional care management (TCM) in 2020 see a lift in utilization, you can be pretty confident that clearance will be the reason for the change. That's because, as you can see by this chart, utilization of these codes over the past five years has been very consistent — and mostly low — even when payment terms have been altered.
 

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.
08/12/2019

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.

08/12/2019
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.
08/12/2019
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.

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