tci Medicare Compliance & Reimbursement - 2019 Issue Q4

E/M Coding: Feds Follow Through on E/M Revamp

Plus: CMS plans to rollout the revisions for 2021. After years of promising to rework E/M documentation and payments, Medicare released some eyebrow-raising proposals in 2019, causing shockwaves across the healthcare industry. Now, in its 2020 fee schedule, the agency finalizes some of its E/M policies — with a 2021 start date. Background: On Nov. 15, the Centers for Medicare & Medicaid Services (CMS) published the Calendar Year (CY) 2020 Medicare Physician Fee Schedule (MPFS) final rule in the Federal Register, and it’s a hodgepodge of burden-reducing payment and policy provisions. The final rule streamlines formats, addresses opioid...

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