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The therapy cap exception process – due to expire at the end of this year – may be extended permanently, though physicians may be paying for it with reductions to their Medicare fees.
The slight increase in the conversion factor means little or no change in reimbursement for most of your E/M codes and other high volume services – with two exceptions.
You'll find the American College of Physicians (ACP) in full support of significantly overhauling the documentation guidelines for E/M services, an initiative that CMS said it would be undertaking in the near future.

Medicare's proposed 2018 physician fee schedule previewed 74 new services that you'll be able to report next year.

Brace for a big shake-up to E/M coding. CMS announced its intention to pursue “comprehensive reform of E/M documentation guidelines” in the 2018 proposed Medicare physician fee schedule released July 13.

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