Policy Details

Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Part B for CY 2019

Summary

Finalizes CY 2019 updates to the Medicare Physician Fee Schedule and other Part B policies, including Evaluation and Management documentation changes, telehealth-related services, and quality program updates. Adjusts relative value units and addresses coding/valuation changes. Includes technical corrections and clarifications across Part B benefits.

Healthcare Implications

Affects outpatient reimbursement and reporting that drive Electronic Health Record configuration, coding workflows, and AI‑assisted documentation. Telehealth provisions help define coverage pathways for virtual services supported by AI screening/triage. Clinician groups should align analytics and quality reporting tools with CY 2019 specifications.

Impact Level

Low

Keywords

Clinical Quality & Efficacy

Stakeholders

Patients & Public; Payers & Purchasers; Developers & Vendors