CMS 2019 – Changes to Evaluation & Management (E&M) Coding and Reimbursement

CMS 2019 – Changes to Evaluation & Management (E&M) Coding and Reimbursement

Rates and FeesCMS recently approved extensive changes to E&M Evaluation and Management) documentation requirements and reimbursements for just 2 levels of visits.  Medicare estimates that this could result in variance in payments, depending on current billing patterns.

Unless a practice only bills levels 1 and 2, we believe this can have a significant impact in your revenue from these codes!  Do you know how this change could impact you? If you are not aware of this change, or have not determined how this can impact your revenue, you don’t have the right billing process in place!

The proposal has its benefits as well – In the form of potential reductions in documentation hours.  Part of the proposal covers expanding the services that can be delivered by Telehealth – including virtual check-ins and review of patient transmitted images.

There are also changes to remove process-based quality measures from MIPS (Merit-based Incentive Payment System). These are complex changes and navigating the turbulence requires attention to detail, change management and TIME.  A commodity most physicians are hard pressed for.  Let the experts do this for you.

Let MedUSA be your RCM experts.  Billing is more than submitting a claim and posting a payment or denial.  YOU can put OUR experience, diligence and process to work for YOU!

Call us for a FREE evaluation of the impact of the 2019 CMS changes to your business!