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By this time next week, we should know the answer to a question that has been on the minds of health care stakeholders since July:
 
What in the world will CMS do with E/M visits?
The proposed E/M payment changes that CMS floated last month are meeting with widespread criticism, with veteran physicians and other stakeholders calling for the agency to rethink its approach.
It’s no secret that claims-based quality measure reporting is very popular with practices, but not with CMS. The 2019 Medicare proposed physician fee schedule contains the agency's latest attempt to shift more practices to other methods that are less burdensome and expensive for the agency to administer.
In the days after CMS dropped a bombshell of a proposed fee schedule, experts and industry groups continue to make sense of the expected aftermath. No proposals are final, of course, but the ideas floated -- around E/M payments and documentation, in particular -- could prove significantly disruptive to physician practices around the country.

A little-noted feature of the recent U.S. budget law gives a break to radiation therapy providers.

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