AANEM News Express

AANEM News Express

Proposed Medicare Fee Changes Threaten Physicians Who See Complex Patients

The Centers for Medicare & Medicaid Services (CMS) has proposed a complete overhaul of the reimbursement structure for Evaluation and Management (E/M) codes that would likely result in significant cuts to reimbursement to all physicians who treat medically complex patients. AANEM has already signed letters opposing this proposal and will address this issue in its comment letter in response to CMS’s entire 2019 Proposed Fee Schedule.
For 2019, CMS is proposing to cut the number of E/M code levels from 5 to 2. Under this proposal, CMS would pay physicians $134 for each new patient E/M, regardless of complexity or length of visit, and $92 for each established E/M patient visit.

In exchange for the reduction of billing options, CMS is proposing simpler chart notes and ending the onerous requirements of the 1995 and 1997 Documentation Guidelines. CMS believes the time saved in physician and office work by reducing documentation requirements would offset the proposed reduction in payment.
Learn More: Attend a Listening Session on August 22, 2018
Want to learn more about this proposal and/or share your thoughts directly with CMS? Register for CMS’s Listening Session on August 22 from 1:30 to 3:00 pm Eastern time. Prior to joining the call, CMS encourages participants to review the proposed rule  as well as the following materials on the provisions to be covered:
More to Come from AANEM
Once AANEM policy staff completes its comment letter on the complete 2019 Proposed Rule (which includes changes to the Quality Payment Program), we will release it to AANEM membership and include information about how members can submit their own comments (which are due September 10, 2018). 
If you have questions or comments about any aspects of the 2019 Proposed Rule, please contact the AANEM Policy department

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