This Week – September 1, 2018
This Week in Washington, D.C.
- Tri-Society Alert: TAKE ACTION: Tell CMS to Withdraw Harmful E/M Proposals
- Urge Your Members of Congress to Say “No” to CMS’ New E/M Proposal!
Tri-Society Alert: TAKE ACTION!
Tell CMS to Withdraw Harmful E/M Proposals
In July, CMS proposed major changes to documentation and payment for Evaluation and Management (E/M) services billed under Medicare. The core proposal, aimed at reducing documentation requirements, requires a transition to a single blended payment rate for level 2 through 5 office visits for new and established patients. Such a payment system undervalues care provided to our sickest and most vulnerable seniors and other Medicare beneficiaries.
The proposal also includes a multiple procedure payment reduction, which would reduce payment for the least expensive visit or procedure billed on the same day as an E/M service. Several other changes related to E/M services are also included. For instance, the proposal would create new codes for primary care services, certain types of specialty care (but not GI and liver care), and visits that last an hour or more. The proposal would also lift restrictions on same-day E/M visits that are billed for by physicians in the same group and specialty.
Although ACG, AGA, and ASGE share CMS’ objective of reducing physician burden, the Agency’s proposal raises grave concerns.
Urge Your Members of Congress to Say “No” to CMS’ New E/M Proposal!
ACG is also working with like-minded organizations in getting Congress involved as well. Please urge your representative to sign a congressional letter to CMS, requesting that the agency not go through with this proposal.