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2020 proposed Medicare physician fee schedule, released July 29, signals that CMS is on track to overhaul its E/M documentation guidelines and revise its reimbursement structure for codes 99202–99215.
In concert with the AMA’s announced changes, CMS plans to focus on just two elements—medical decision-making and time—for successful documentation. New code valuations would significantly alter payment amounts for Level 2 to 4 codes.
Because E/M services are at the heart of many practices’ revenue, these changes could significantly disrupt current E/M payment policies and documentation guidelines. Practices need to understand CMS’ proposals to chart a clear strategy ahead of January 1, 2021, start date.
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