The proposed rule for the Medicare Physician Fee Schedule was released this month and includes proposed payment rates and changes to the quality payment program for 2019.  NAEC has prepared a summary of the major proposals affecting payment and charts showing relative value unit and payment changes for the major epilepsy center procedural and surgical services and evaluation and management (E/M) services.  CMS is proposing major changes to reporting E/M services, which negatively impacts multiple medical specialties that provide higher level E/M services, including neurology.  NAEC will be responding to this rule on behalf of its members.

Note: NAEC has updated its chart for the proposed Medicare Physician Fee Schedule for 2019 to add new codes for the programming of brain stimulators (RNS and DBS).