Following up on our September 4th, 2018 post “MGMA Opposes Proposal to Consolidate E/M Codes”, The Coding Network has been actively tracking the status of the sweeping changes to the Physician Fee Schedule for 2019 proposed by the Centers for Medicare & Medicaid Services. The complete language of CMS’s proposed rule can be found online at https://www.regulations.gov/document?D=CMS-2018-0076-0621. According to the site, over 15,000 comments from the public have been submitted in response to the proposed rule. Please click here to view the comment letter submitted by The Coding Network. Amongst the many proposed changes, CMS has proposed significant revisions to existing documentation requirements and levels of reimbursement for Evaluation & Management visits. The changes could result in dramatic declines in reimbursements for certain specialties. The Coding Network strongly encourages providers and healthcare managers and administrators to familiarize themselves with the substance of the proposed rule. Many healthcare organizations, including MGMA, AMA and medical specialty organizations, are organizing efforts to address the issues at the center of CMS’s proposed rule.