tci General Surgery Coding Alert - 2020 Issue Q1

Physician Fee Schedule: Countdown to E/M Overhaul

The Medicare Physician Fee Schedule (MPFS) final rule contains no surprises regarding when the big changes to E/M services will take place — that will still be Jan. 1, 2021. Even with the implementation pause, here are two takeaways from the final rule that you need to know: Reversal: The 2020 final rule puts an end to CMS’s controversial proposal to blend E/M level payments. As it stood, the proposal to merge E/M levels 2-4 for both new and established patients and reimburse them at the same rate “would have caused a real issue with medical care...

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