Lexology November 27, 2018
The final 2019 Medicare Physician Fee Schedule regulation released by the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services (“CMS”) on Nov. 1 includes major changes effective in 2021 to Medicare payments for outpatient office visits. As formerly proposed by CMS, the fee schedule would have paid professional billing providers the same for CPT code levels two through five. Instead, the final rule clarifies there will be three payment levels for new and established patients, with a blended payment for levels two through four and separate payments for levels one and five.
The two-year delay in implementation provides the opportunity for CMS to respond to work done by the American Medical Association and the CPT...
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