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Action Needed: CMS Proposed Rule

Wednesday, August 22, 2018   (0 Comments)
Posted by: DCMS
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Dear Colleague,

The Centers for Medicare and Medicaid Services (CMS) has proposed changes to the E/M services billed under Medicare which will result in dramatically reduced reimbursements for many physicians. In particular, physician payment for the cognitive process of caring for complex, chronically ill, and elderly patients will be adversely impacted. The proposed rule, as with many Medicare policies, will pit procedural based physicians vs non procedural physicians. This rule will not only impact your Medicare patients, it will ultimately open the door for further reimbursement cuts for E/M services from private payors. Physicians, employed and private, have to be leery of any associated RVU modifications that reduce productivity and deserved payment for complex patients. Finally, in the reality of medical practice, the proposed change is unlikely to lead to simplification or reduction in paperwork, mouse clicks, or time spent “justifying” the new E/M codes.

With the tremendous help of our Duval County Medical Society CEO and staff, we have highlighted some of key analysis and explanation of this proposed rule below. Take the time to talk to your colleagues and read more about the CMS rule from your county, state, and national medical societies.

Most importantly, take 5 minutes and officially register your opinion with CMS on how this new E/M rule will hurt our patients and practices.


Dr. Ruple Galani
2018 DCMS President

Summary of the Proposed Changes:
-It is important to understand the proposed changes to the E/M Services billed under Medicare. Please click here to read a summary from the American Medical Association, as well as comments from Florida Medical Association President Dr. Corey Howard.


Estimated Impact of Proposed Rule:
-Click here to access the estimated impact of the proposed codes on your practice.


Submit a Formal Comment:
-Click here and hit the Green Button to Submit a Formal Comment. However, you need to hurry. Public comment closes on September 10


Should you have any questions, feel free to reach out to me at or to our CEO Bryan Campbell at