How The New Coding Changes Will Impact Clinicians

Imagine a world where you won’t have to code a level of service for a visit.

No 99203.  No 99214s.

No fumbling about looking for an additional data point on the ROS, or trying to justify “nature of the presenting complaint” just to get paid.

No audits.


Just a single flat payment for a visit.

Regardless of whether the patient was seen for a cold or cancer, for five minutes or fifty, you get paid the same amount.

That world may soon be upon us.  Very soon.  January 1, 2019 to be exact.

The government just released a press statement that a proposal is coming on this Friday.

You’ll just have to meet the documentation requirements for a level 2 visit, established or new as appropriate, and you’ll be paid $93.

One visit, one payment—what could be simpler?

The implications are profound, and we’ll explore them in this space in the weeks to come.

For now, just let it sink in.

May you live in interesting times.