decisionhealth Newsletters, Part B News - 2018 Issue 8 (August)
CMS’ E/M pay proposals would tack on millions for many specialists
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Article Overview
This article reviews CMS proposals tied to evaluation and management payment changes in the Medicare physician fee schedule and summarizes a third-party analysis of how different specialties could be affected. It is relevant to physicians, coders, practice administrators, and specialty associations following E/M documentation and reimbursement policy updates.
Why This Topic Matters
The piece helps readers understand the broad financial implications of CMS’ proposed E/M payment revisions, including how specialty code patterns and proposed add-on payment concepts may shift reimbursement across practices.
Article Sections
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CMS proposal and payment impact overview
Summarizes the proposed Medicare physician fee schedule changes affecting E/M services and the general payment impact analysis across specialties.
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Enter the add-on codes
Discusses the proposed add-on payment concepts for primary care and selected specialties and their estimated effect on reimbursement patterns.
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Too early for official feedback
Covers early responses from medical associations and their review of the broader rulemaking package, including documentation and payment-related proposals.
What You Will Learn
- How CMS proposed changes to E/M payment structure were being analyzed
- Which types of specialties were expected to be affected by the proposed payment revisions
- What broad categories of add-on payment concepts were discussed in the rule
- How specialty organizations were responding to the proposed Medicare changes
- Why documentation and payment policy revisions were being reviewed together
Who Should Read This
- Physicians
- Medical coders
- Billing and revenue cycle staff
- Practice managers
- Specialty medical societies
- Healthcare policy analysts
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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