Proposed Changes to E/M Documentation and Payment Pose Significant Impact

The 2019 Physician Fee Schedule proposed rule, released by the Centers for Medicare and Medicaid Services (CMS) July 12, outlined significant changes to the way evaluation and management (E/M) services would be documented and paid. In response to concerns regarding the significant burden represented by E/M documentation, CMS proposed to simplify documentation requirements for these services. While these significant changes have the potential to streamline practice workflows, they also incorporate proposals that redistribute E/M payments across and within specialties to a considerable degree. Review the proposed simplified documentation requirements and a list of examples showing the impact on various levels of new and established E/M visits here. The ACC has an opportunity to influence whether/how these proposed changes are finalized through public comments and direct communication with policymakers. A final rule will be published by Nov. 2 detailing any changes to be implemented before the 2019 fee schedule takes effect Jan. 1. If you have completed independent analysis on these changes or have other insights on how these changes could decrease administrative burden in your practice, email ACC Advocacy staff at This email address is being protected from spambots. You need JavaScript enabled to view it.. Read more on