Wiki ? re: Major changes to E/M coding and documentation 2019 proposed changes

[sheiladarnell]

Are the CMS/Medicare 2019 proposed E/M/Coding/Documentation Guidelines the same for Medicare participating, non-participating and/or MC replacement plan providers? I was under the impression these changes and guidelines only apply to providers who are traditional Medicare participating providers. Any insight would be greatly appreciated!! Thank you for your help!!

 

[Pathos]

Good morning!

I have done some extensive research on this topic, and the Proposed changes seem to only apply to Original Medicare and MACs. Commercial payers may jump on the band wagon, however I strongly doubt everyone will follow suit right away. Perhaps the bigger payers (UHC, BCBS, Aetna, etc.) might do so before the regional/local payers, but time will really tell.

Oh and I created a whole thread on this topic