In alignment with AAFP’s concerns regarding Centers for Medicare and Medicaid Services’ (CMS) proposed 2019 Medicare Physician Fee Schedule released for comment in July, MAFP has submitted its own letter highlighting the areas of particular consequence to Family Physicians and ultimately patients.
Among the most concerning changes are those that center on evaluation and management coding, namely adopting a single payment rate for E/M codes for new patients and existing patients, and reducing by 50% payment for multiple services using the modifier -25.
The Academy believes these changes would have a negative impact on Family Physicians, especially those in small, independent practices. AAFP and MAFP urge CMS to delay changes to E/M policies and codes and their descriptions until AAFP and other medical associations can work with the agency to develop new or revised office visit codes, descriptors, and values that incentivize comprehensive, continuous, and coordinated primary care, rather than promote fragmentation of care and churning.
For details on the Academy’s specific recommendations and other areas of concern, click here.