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News & Press: General Announcement

Clarification of the CMS 2019 Final Rule

Friday, November 16, 2018   (0 Comments)
Posted by: ACOFP
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Last week CMS finalized it rule on E/M coding and payment. Some ACOFP members contacted ACOFP for additional guidance on what it means for family medicine practices starting January 1, 2019.


For some background, ACOFP and over 150 associations submitted comment letters to CMS arguing against the proposed rule that made drastic reductions to the E/M Level 2-5 payments. With such strong sentiment to this part of the rule, CMS decided to further consider the issue. In short, CMS delayed any changes or action on E/M coding until 2021. 


The CMS decision does not alter coding or payment in 2019 or 2020. Continue to use E/M codes as you have been in 2018 for CY 2019 and 2020. Reimbursement will remain the same.


CMS will be conducting a webinar titled PFS Final Rule: Understanding 3 Key Topics on Monday, November 19, 2018 at 2:00 pm Eastern to clarify its final rule. We encourage you to register in advance. 

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