tci ED Coding & Reimbursement Alert - 2018 Issue 9

Part B Payment: See How the Proposed 2019 Fee Schedule Could Impact Your ED

CMS proposes vast changes, but EDs are spared from the biggest impact. If you’ve heard the buzz about CMS proposing major changes to how E/M codes are documented, billed, and paid, it’s possible that you’re either delighted or nervous – but emergency departments can rest easy for now, since most of the biggest changes only impact physician offices. Background: CMS released its proposed Medicare Physician Fee Schedule (MPFS) for 2019 on July 12, and it includes what the agency is calling “historic” E/M documentation changes to the outpatient office visit codes (99201-99215). In addition to...

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