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You can dismiss a lot of the controversial updates to office E/M services, such as blended payment rates, that drew an outcry from the medical community. But you’re now on the clock to get in line with far-reaching documentation changes for these oft-used services, according to the 2020 proposed Medicare physician fee schedule released today.
 
The good news: You may be due for additional reimbursement retroactive to Jan. 1. The merely OK news: You’ll have to check your claims and ask your Medicare administrative contractor (MAC) for an adjustment. The not great but could be worse news: You may owe your MAC money on some claims, but it’s just a few cents per claim.

'Tis the season to stretch our gaze ahead to the new year -- and the new or revised Part B policies just days away from making a real impact on your bottom line.

CMS hit the brakes on making imminent changes to the oft-used E/M code set that’s tied to billions of dollars in medical practice revenue. Streamlined payment rates are off the table for 2019, as are vast documentation revisions, according to the 2,378-page final 2019 Medicare physician fee schedule released Nov. 1. Once you’ve read through our detailed breaking news, take our quick, confidential survey to share your opinion.
By this time next week, we should know the answer to a question that has been on the minds of health care stakeholders since July:
 
What in the world will CMS do with E/M visits?

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