Centers for Medicare & Medicaid Services Announces New Guidelines

The CMS on Friday finalized rules that modify how physicians get paid for evaluation and management services and changes how the agency determines the financial rewards that doctors receive for improving healthcare quality and lowering costs.

The final physician fee schedule rule updates E/M codes for every specialty in 2020, but the CMS targeted its changes to encourage primary care physicians and other clinicians to spend more time coordinating care for their patients. The agency hopes these changes will help address the social determinants of health, increase patient adherence to treatment and improve the continuity of care. The final rule is virtually unchanged from the regulation proposed over the summer.

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