The MFS Final Rule: Are You Ready?

The MFS Final Rule: Are You Ready?

Posted by Charla Prillaman
Nov 27, 2018 12:15:07 PM

Every year we look forward to November when the MFS final rule will be published. This year, it feels like we’ve been waiting forever. Ever since the proposed rule was published in July we’ve been waiting in anticipation and talking about the potential impact of the proposed changes to EM documentation requirements and payment structure. It’s loomed over us, like a giant question mark, as we’ve contemplated the impact it might have if it’s implemented.

Well, now the wait is over. It’s November and we have the final rule and we finally know which of the proposals will be implemented on January 1, 2019. So now it’s time for us auditors and coders to revise our processes to comply with the new expectations. For example, while the Documentation Guidelines for Evaluation and Management Services (1995 or 1997 version) remain in place, there’s a substantial change in the requirements for documenting the HPI (history of present illness) portion of the history key element.

Sounds a bit daunting doesn’t it? Rest assured we, your community of fellow auditors, are here to help.

Download this short eBrief, Have no Fear: The MFS Final Rule is Here, by one of your favorite auditing experts Charla Prillaman to get help navigating the changes that will be implemented in the upcoming months, including the History of Present Illness (HPI) documentation changes, services using technology, HCPCS code G2012 and code G2010.

Download Now

Questions or Comments?