CMS leader updates Medicare PFS, E&M coding & QPP on ‘Top Docs’

The latest edition of the Medical Association of Georgia’s (MAG) ‘Top Docs’ show is a ‘What’s new from the Centers for Medicare & Medicaid Services’ (CMS) for 2020 and beyond’ update. It features Richard E. Wild, M.D., J.D., M.B.A., FACEP, who is the chief medical officer for CMS’ Atlanta and Boston regions – which include Georgia, Alabama, Florida, Tennessee, Kentucky, Mississippi, North and South Carolina, and the six New England states. 

Dr. Wild discusses the Medicare Physician Fee Schedule (PFS), E&M Office Visit Coding, and the Medicare Quality Payment Program (QPP) – including the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMS). He addresses…  

– PFS E&M coding changes, and how this affects primary care payments

– CMS’ proposal to change physician assistants’ scope of practice and how they’re supervised by physicians 

– How chronic care management, transitional care, and principal care management codes and payment have changed

– A new Medicare Part B benefit for opioid use disorder treatment

– New telehealth codes for opioid use disorder treatment

– How ASC pre-surgical/pre-anesthesia patient assessment processes have changed

– How CMS has reduced the administrative burden associated with EMR

– How the Medicare Quality Payment Program (QPP) has changed 

– The MIPS “Value Pathways” framework

– How many clinicians CMS expects to be eligible for the MIPS and APMS programs for 2020 

Dr. Wild has 30 years of experience as a board-certified emergency physician. His diverse background includes caring for patients in small rural hospitals in Georgia to the U.S. Army Hospital at Ft. Benning to serving as the chair of emergency medicine and the director of the emergency department at a large university teaching hospital in New England. Dr. Wild has a medical degree from the University of Vermont College of Medicine, he received his residency training at the Walter Reed Army Medical Center in Washington, D.C., and he is a fellow of the American College of Emergency Physicians. 

This is Dr. Wild’s fourth appearance on the ‘Top Docs’ show.   

Between downloads and live listeners, ‘Top Docs’ – which won an American Association of Medical Society Executives Profiles of Excellence Award  and a Health Information Resource Center Digital Health Awards award in 2019 – has now reached more than 700,000 listeners and viewers, which includes people in all 50 states and more than 80 countries.

‘Top Docs’ is supported with a grant from Alliant Health Solutions in memory of Tom Williams, its former CEO. 

In addition to the video recordings that are available on Facebook, ‘Top Docs’ is available as a podcast on AppleGoogleSpotifyStitcher, and iHeart Radio

Resources

CMS ‘Finalized Policy, Payment & Quality Provisions Changes to Medicare Physician Fee Schedule for CY 2020’ fact sheet

CMS ‘Trump Administration Strengthens Medicare by Reducing Provider Burden and Valuing Time Spent with Patients’ press release

CMS QPP website

CMS QPP ‘MIPS Value Pathways’ (MVPs) web page

CMS QPP Resource Library

The views of the guests who appear on ‘Top Docs’ are theirs and aren’t necessarily consistent with MAG’s policies or positions. Contact Tom Kornegay at tkornegay@mag.org with questions about MAG’s ‘Top Docs’ show.