The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 12, introduces policies that focus on expanding the framework for reporting E/M visits and removing certain process measures under the Quality Payment Program (QPP).
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Q: In a condition code 44 scenario, may we report and bill for observation hours (revenue code 762) prior to the order for observation?
Q: Is it true that billing anesthetic drugs with injection procedures in outpatient clinic encounters is unbundling packaged services?
Q: Is there any specific guidance on what nursing services should be included in room and board and covered under routine services?
