CMS Proposes Changes to FY 2020 Physician Fee Schedule

PUBLISHED: Jul 30, 2019
Relevant to: All Healthcare Organizations

The U.S. Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2020.

The proposed rule includes payment provision updates; highlights of other changes include:

  • A bundled episode of care for treatment of opioid use disorders.
  • Broad modifications to documentation requirements so that physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified nurse-midwives can review and verify (sign and date), rather than re-documenting, notes made in the medical record by other physicians, residents, nurses, students, or other members of the medical team.
  • Increase payment for Transitional Care Management (TCM), which is a care management service provided to beneficiaries after discharge from an inpatient stay or certain outpatient stays.
  • Medicare coverage for opioid use disorder treatment services furnished by opioid treatment programs
  • Bundled payments for substance use disorders.

CMS is accepting comment on their proposed rule through September 27, 2019.

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