Providers Oppose Collapsing Medicare Reimbursement for E and M Visits

Published: Thu, 09/13/18

Providers are calling on CMS to not finalize a proposal to collapse Medicare reimbursement for evaluation and management (E/M) visits into a single, blended payment rate for E/M Levels 2 through 5 visits. In a recently proposed rule for the 2019 Medicare Physician Fee Schedule, CMS proposed the Medicare reimbursement change for...

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AMA Releases 2019 CPT® Code Set

The new current procedural terminology (CPT®) codes have been released with 335 code changes in 2019. There were many code revisions with guideline, description and instructional note changes. Let’s look at the highlights of many new CPT codes for 2019.

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AMA Adds Connected Health CPT Codes, Pushes for Medicare Payment

The American Medical Association (AMA) updated the Current Procedural Terminology (CPT) code set in 2019 to include new codes for connected health services in an effort to encourage CMS to pay for the services. The 2019 CPT code set contains 335 code changes that will go into effect for medical billing and coding on...

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CMS’s Proposed E&M Coding Changes and the Rest of the Story

The 2019 proposed Medicare Physician Fee Schedule has clearly articulated the Centers for Medicare & Medicaid (CMS) goal of “patients over paperwork.” I think almost everyone agrees with that goal. Most physicians applaud any improvement in lessening the documentation burden and “note bloat.” The concern with the proposed rule is that in many ways, increased burden for physicians and their agents and representatives will ensue.

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CMS Proposes 50 Percent Reduction in Claims Submitted with Modifier 25

By now I am sure that everyone is well aware that the Centers for Medicare & Medicaid Services (CMS) has proposed modifications to the reimbursement model for the outpatient/ office evaluation and management (E&M) code sets, as well as the anticipated documentation relaxation accompanying the proposal. These two portions of the proposed changes are getting much

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