Lexology November 10, 2019
- The Centers for Medicare & Medicaid Services (CMS) on Nov. 1, 2019, published the Calendar Year (CY) 2020 Final Rule for the Medicare Physician Fee Schedule (MPFS). The MPFS dictates Medicare rates and policies under Part B, while the Quality Payment Program (QPP) implements two key value-based payment programs: the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).
- CMS is finalizing significant changes to evaluation and management (E/M) and chronic care management services, citing greater flexibility and increased accuracy in codifying services. This year’s MPFS also includes new requirements for certain telehealth services and coverage for additional opioid treatment services. CMS also finalized the creation of MIPS Value Pathways (MVPs) beginning with the 2021 performance year/2023 payment...
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