tci ED Coding & Reimbursement Alert - 2018 Issue 9

Part B Payment: Check These Proposed Changes to Quality Measures

Plus: What’s the proposed conversion factor for 2019? The proposed physician fee schedule includes much more information beyond the suggested E/M code changes, including potential updates regarding the quality measures. The proposal suggests adjustments that provide much-needed changes to Measures 415 and 416, which EDs use. Here’s the update: These measures refer to patients that get head CTs following minor blunt head trauma. “In previous versions of the measure, the head trauma had to be within 24 hours and you had to document a Glasgow Coma Scale (GCS) score of 15, which is a wide-awake patient...

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