DWW special issue: 2019 proposed fee schedule


DWW special issue: 2019 proposed Medicare Fee Schedule

On July 11, the Centers for Medicare and Medicaid Services (CMS) released it's 2019 proposed Medicare Fee Schedule, which also includes changes to its proposed policies for the 2019 Quality Payment Program (QPP). Dermatology World Weekly is unpacking the meaning of the 2019 proposed Medicare Fee Schedule in a six-part series. Each Wednesday an article covering a new topic of the fee schedule will be published. Read the articles that have already been published below, and check back to read all six articles of the series.

5 Things to know about the proposed Medicare Fee Schedule

In addition to an overall 1% payment cut in 2019 for dermatology, the rule also proposes substantial changes to reporting and payment for in-office evaluation and management (E/M) codes among other areas of significance to dermatology. While the exact impact of the rule will depend on your practice mix, DWW breaks down what the proposals might mean for dermatology and how the AADA is responding on the specialty’s behalf. 

In this first article, we highlight what is most important to dermatology. Keep reading!

The good, the bad, and the unknown in CMS E/M proposals

Proposals in the draft Medicare Fee Schedule would significantly overhaul payment and documentation for E/M codes. Depending on your payment mix, the news may be somewhat welcome, but proposed cuts to modifier 25 are bad news for the specialty overall. And, while CMS’s attempt to simplify documentation is a move in the right direction, the changes need clarification.

In the second article, we take a closer look at what these documentation and E/M changes may mean for dermatology. Keep reading!