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John,

Did you see that the final 2019 Medicare physician fee schedule was released on Nov. 1? The drastic changes to E/M visits in the proposed 2019 rule won’t go into effect next year but that doesn't mean changes aren't coming next year.

At the Billing and Compliance Summit, we'll review the top fee schedule updates, including E/M changes that will have the greatest impact on your practice in 2019. Here are just some of the meaningful changes that CMS will adopt starting Jan. 1 that the conference will cover:
  • For E/M visits, providers will not be required to re-enter information about the patient’s chief complaint and history that a staff member has already entered. Instead, the provider can indicate in the medical record that the information has been “reviewed and verified,” CMS says.
  • For established office visits, providers can focus their documentation on changes since the last visit and “need not re-record the defined list of required elements if there is evidence” that the provider has already done so, an accompanying CMS fact sheet states.
  • For home visits, providers will no longer be required to prove explicit medical necessity when reporting the range of codes 99341-99350.
  • CMS won’t implement a proposal to apply a 50% multiple-service reduction when an E/M visit is reported the same day as a minor surgical procedure (no modifier 25 cuts).
This is your last chance to get the guidance and tools you need to comply with all the new rules that go into effect Jan. 1!

Plus, you'll earn up to 18.5 AAPC and AHIMA CEUs just from this one event! Get a huge boost toward staying certified as you receive specialized, in-depth training and education from our certified experts.

Easily complete your registration online at decisionhealth.com/billingcompliancesummit or by calling 1-855-225-5341.

I hope you'll join us!

Rebecca Hendren
Conference Chair
 
Thursday, November 1, 2018

Breaking News

 

Medicare 2019 final physician fee schedule contains an E/M cliffhanger
 

The good news: The drastic changes to E/M visits that CMS surprised you with in the proposed 2019 Medicare physician fee schedule won’t go into effect next year. In addition, CMS tweaked documentation requirements to eliminate a few that the agency believes are repetitive and unnecessary. And the agency jettisoned a proposal to apply a 50% reduction when E/M services are reported with office procedures.
 

The bad news: CMS isn’t backing off many of the unpopular proposals, which include flattening payments for E/M codes 99202-99204 and 99212-99214 and creating a system of add-on codes that would be used based on the nature of the visit. The agency delayed those changes to 2021.
 

There’s a lot more to the final rule, including the conversion factors for physician and anesthesia services, the final decision on Quality Payment Program changes and new services such as coverage of virtual check-ins. See our blog for free, detailed coverage of the changes that will impact your billing, coding and reimbursement in 2019, or read the 2,378 pages yourself.
 

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