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—You've heard by now of the momentous changes coming to your office-based E/M codes in 2021. And perhaps you caught wind of accompanying payment updates. But just how game-changing are the new payments?
Physicians may have a new tool at their disposal to find the lowest-priced drugs for patients should a proposed rule from CMS take effect as planned. The proposed rule, released Nov. 26, would require Part D plans to adopt a Real Time Benefit Tool that can alert providers to the current price of drugs available under a patient's coverage terms.
An anesthesia group noticed that it had stopped receiving payments from a major private payer. The practice couldn’t figure out what happened.
Two top health care analysts with KPMG talk about the new rule that proposes to push all Medicare Shared Savings Program (MSSP) participants to two-sided risk.
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.

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