2019 Medicare PFS and QPP Final Rule

On November 1st, the Centers for Medicare and Medicaid Services (CMS) finalized the 2019 Physician Fee Schedule (PFS) and Quality Payment Program (QPP) rule. In addition to updating the PFS and QPP for 2019, the rule will: implement provisions of the Bipartisan Budget Act (BBA) of 2018, update Evaluation and Management (E/M) billing practices, finalize changes to the Medicare Shared Savings Program (MSSP), expand telehealth, change the payment methodology for new Part B drugs, establish a new benefit category for opioid treatment programs, and update non-physician scope of practice and billing requirements.

A summary of the final rule is attached and the complete 2,379 page rule is available here.