ASRA Signs on to Letter to CMS Regarding 2019 Medicare Physician Fee ScheduleAug 28, 2018
ASRA is one of 150 medical societies that have signed on with the American Medical Association (AMA) to share feedback with the Centers for Medicare Services regarding the Medicare Physician Fee Schedule for CY2019. In a letter sent August 27, the organizations expressed appreciation for attempts to reduce paperwork burdens but pointed out serious concerns about coding policies that may result in unintended consequences.
The letter recognizes support of the "Patients Over Paperwork" initiative intended to reduce administrative burdens and devote more time to patient care. Specifically, the organizations support the change in medical notes to focus only on the interval history since the previous visit, eliminate the need to re-document information already documented by staff or patients, and remove the need to justify providing a home visit instead of an office visit.
The letter points out some concerns, however, regarding the proposal to collapse payment rates for eight office visit services for new and established patients down to two each, citing unanswered questions and potential unintended consequences. In an effort to work collaboratively to address concerns related to evaluation and management services, the organizations support the AMA's creation of a work group of physicians and other health professionals with high-level expertise in these areas.