tci Part B Insider - 2019 Issue Q4

Evaluation & Management: Feds Nix E/M Blended Payment Proposals

Hint: Expect the 2020 rule to fix other E/M issues, too. Recent evidence suggests that your opinion does matter to Medicare. However, as the feds cut burdens and reverse policies midstream, it’s up for debate whether all the turnarounds are really helping providers and healthcare. Context: The Centers for Medicare & Medicaid Services (CMS) reversed course on its 2019 E/M blended payments promises in the Calendar Year (CY) 2020 Medicare Physician Fee Schedule (MPFS) proposed rule, published in the Federal Register on August 14. The agency chucked last year’s E/M flat rate proposals and decided to stick...

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