The Centers for Medicare & Medicaid Services (CMS), the agency responsible for running Medicare and Medicaid, recently issued its proposed Medicare physician fee schedule for 2020. CMS included a proposal to revalue the ED evaluation and management codes, the most commonly billed services for emergency physicians.
Explore This IssueACEP Now: Vol 38 – No 09 – September 2019
As the only EM organization represented on the AMA Relative Value Scale Update Committee (RUC), which develops values for physician service codes, ACEP advocated strongly for this revaluation.
The RUC accepted our recommendations, and CMS is proposing to accept the RUC’s recommended values. If finalized, this revaluation would increase Medicare reimbursement for ED visit codes by approximately $137 million in 2020, when the policy becomes effective. The increased values would become the new standard for each year after that. In our October 2019 issue, ACEP Now will feature a detailed analysis of the CMS proposed rule and its implications for emergency medicine.
Stay updated on this proposed rule and other regulations that affect you on our regulatory blog, Regs & Eggs, at www.acep.org/regsandeggs.