BC Advantage - 2020 Issue 9

Big Changes are Coming in Payment and Documentation Guidelines

The Centers for Medicare & Medicaid Services finalized their Fee Schedule, which included some significant changes to reimbursement and documentation requirements for evaluation and management, also known as E&M office visits. Although most of the changes will not be taking effect until Jan 1, 2021, the time to begin preparing is now.CMS had delayed E&M coding reforms, particularly because many doctors were balking at the changes that included transforming the now-used five-tier E/M system into one that has blended payment rates for outpatient and office visits being billed at the second through the fifth levels. The...

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