Breaking News! CMS Finalizes the 2019 PFS and QPP Rule

Breaking News! CMS Finalizes the 2019 PFS and QPP Rule

New regulations
On November 1, the Centers for Medicare & Medicaid Services (CMS) finalized the 2019 Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) rule. The final rule includes updates to coding requirements for Evaluation and Management (E/M) with some of the updates taking effect in 2019 and full implementation of the E/M coding reforms delayed until 2021.

"Today's rule finalizes dramatic improvements for clinicians and patients and reflects extensive input from the medical community. Addressing clinician burnout is critical to keeping doctors in the workforce to meet the growing needs of America's seniors. Today's rule offers immediate relief from onerous requirements that contribute to burnout in the medical profession and detract from patient care. It also delays even more significant changes to give clinicians the time they need for implementation and provides time for us to continue to work with the medical community on this effort." -CMS Administrator Seema Verma

2019 PFS and QPP Rule

Healthcare Compliance Pros is thoroughly reviewing this final rule. As part of our review, we will break down the updates to the PFS and the QPP. We will also examine what's in store for 2019 and what we can look forward to in 2021. Most importantly, we will provide our recommendations so that you are prepared for the updates that may impact your practice most.

In the meantime, if you have questions and E/M requirements, questions about MIPS questions about other CMS rules, please contact us by email: at or by phone: at 855-427-0427.