Practice Enhancement




You've got questions, we've got answers! Check out our BLOG for Practice Enhancement Q&A.

Tips for Using Total Time to Code E/M Office Visits in 2021

You can soon code E/M office visits based on your total time spent on the day of the visit. To reduce the burden of time-based coding, get to know the updated time table and follow these time-tracking tips.

AMA BREAKING NEWS: CPT Codes for COVID-19 Vaccines Just Released

Working closely with the Centers for Disease Control and Prevention, the CPT Editorial Panel has just approved a unique CPT code for each of two coronavirus vaccines as well as administration codes unique to each such vaccine. The new CPT codes clinically distinguish each coronavirus vaccine for better tracking, reporting and analysis that supports data-driven planning and allocation. Importantly, these CPT codes are available prior to the public availability of the vaccines to facilitate updating of health care electronic systems across the U.S.  For more information, CLICK HERE.

Changes Coming in 2021

In response to advocacy from the AAFP and other medical specialty socities, CMS has revised the E/M documentation and coding guidelines, with changes beginning January 1, 2021.  These fundamental changes ( are intended to reduce administrative burden and increase the amount of time physicians spend caring for patients.  CMS will also increase the relative values for office visit E/M codes. 

Though the changes don't go into effect until 2021, practices should begin preparing now.  CLICK HERE for highlights of key changes being implemented.

Coding E/M Visits by Medical Decision Making

Physicians will soon be able to code E/M visits based solely on medical decision making, which is made up of three elements. CLICK HERE for details.

The FAFP now assists members in resolving insurance related issues through our new Hassle Factor Form

The following Hassle Factor Form may be completed in order to report insurance administrative and claims processing concerns experienced in your practice. This information is confidential and assists the Florida Academy of Family Physicians (FAFP) in identifying common areas of concern and in facilitating a dialogue with payers.  Please provide as much detailed information as possible, such as de-identified documents that support the grievance (e.g. no patient specific information).


By collecting data on issues Family Physicians have with third party payers, the FAFP will be better able to identify common areas of concern and facilitate dialogue with payers. Please complete one form per carrier issue.


>> Proceed to the FAFP Hassle Factor Form


Should you require additional assistance on a particular coding or health plan coverage issue, please contact Jennifer Young, Director of Membership and Practice Enhancement Services at

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

With the repeal of the sustainable growth rate, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) offers new opportunities for Medicare providers.


To ensure your practice is MACRA Ready, the AAFP and FAFP are here to help!

As new MACRA details become available, count on us to keep you informed and help guide you through the shift to value-based payment.


In the meantime, start familiarizing yourself with these free MACRA resources—including a timeline and FAQ—to learn what MACRA means for you and your practice. You may also view the MACRAready page as your personal road map to MACRA success.


Please see the below MACRA resources currently avaliable:



We know how frustrating health care reform can be and now is the time to show the rewards—for both physician and patient—of value-based payment. To help you avoid a 4% negative payment adjustment in 2019, the AAFP and FAFP are here to guide you through the Quality Payment Program (QPP), created as part of MACRA. Click the following video to watch now.

MACRA Basics - Pick your Pace

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was passed and signed into law in April of 2015. MACRA introduces two new payment tracks for physicians and aims to transition Medicare from volume-based to value-based payment models. Under MACRA, eligible clinicians (ECs) will participate in either the Merit-based Incentive Payment System (MIPS) or an Advanced Alternative Payment Model (AAPM). MIPS and AAPMs are collectively referred to as the Quality Payment Program (QPP). The initial performance period begins in 2017.

With the MIPS track, ECs receive a final score based on performance in four performance categories: quality, cost, advancing care information (ACI), and improvement activities (IA). A clinician’s performance in 2017 determines Medicare Part B payment adjustments for 2019.

Pick Your Pace Overview

To give ECs more time to learn about and adjust to QPP, the Centers for Medicare & Medicaid Services (CMS) deemed 2017 a transition year to “Pick Your Pace.” To avoid a 2019 negative payment adjustment, ECs must select from one of four Pick Your Pace options.  Click here to read more.

Chronic Care Management (CCM)

Starting January 1, 2015, Medicare now pays separately under the Medicare Physician Fee

Schedule for CPT code 99490, for non-face-to-face care coordination services furnished to Medicare beneficiaries with multiple chronic conditions. CPT 99490 is defined as follows:


Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following

required elements:


  • Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient,

  • Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline,

  • Comprehensive care plan established, implemented, revised, or monitored.


The following CMS Fact Sheet, will provide background on the newly payable chronic care management (CCM) services, identify eligible providers and patients, and provide further details on the Medicare PFS billing requirements.

Physician/Attorney Collaboration on Behalf of Older Individuals


Click below to view a new, free online educational module relating to interprofessional collaboration between physicians and attorneys on behalf of their older patients/clients. The case vignettes and written materials in this module have been produced by the Florida State University Center for Innovative Collaboration in Medicine and Law under a grant from the Retirement Research Foundation.  This module is suitable both for individual self-study by physicians and attorneys and by professional organizations as the foundation for live continuing education programs.  The module, including written materials, may be accessed by clicking here.

HSAG Resources

The Health Services Advisory Group (HSAG) has launched a new webpage called The Quality Payment Program (QPP) Service Center. This no cost service center is an on-demand technical assistance and educational resource center that provides access to QPP tools and resources, telephonic technical assistance and email support. To connect, please click the image below.

Avoid the 2019 Payment Adjustment - It's Easier than you Think

Learn more about the Test option on the CMS Quality Payment Program website. Click here.


Health Services Advisory Group subject matter experts can assist your practice. Contact a Quality Payment Program Specialist for no cost support at

844.472.4227 Mon–Fri, 8 a.m.–8 p.m. ET or

Sustainable Practices:  My Green Doctor

My Green Doctor is the free environmental sustainability program offered for members of the Florida Academy of Family Physicians.  Offices and clinics learn to make gradual improvements in their uses of energy, water, chemicals, paper, and other resources.  The program is easy to use, adding only five minutes of Green Team business to each regular staff meeting.  Most offices save money in their first month using My Green Doctor.   It works for healthcare clinics, offices, and outpatient centers.   One five-office practice is saving $1500 per doctor every year and reducing its greenhouse gases, with no financial investment.

Begin by asking your office manager to register at  Everyone in the office can register.  Next, the office commits to the goal of environmental sustainability and to adding Green Team business to each office meeting agenda.  Each meeting is fully scripted in the “Meeting-by-Meeting Guide” so that there is nothing for the office manager, director, or physician to study or prepare.   Offices can qualify for the Green Doctor Office Certificate from the Academy within a few months.

My Green Doctor provides free brochures, posters, and other teaching tools to help helps share wise choices with patients and families.  This can mean less energy and water used, cleaner air, fewer greenhouse gases, and better health outcomes.  Register today at My Green Doctor to start saving money and improving health!

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Contact Us!

For questions regarding our website or the Florida Academy of Family Physicians, please contact us below or click here.

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Jacksonville, FL 32258
(800) 223-3237 (Phone)
(904) 726-0944 (Local)
(904) 726-0923 (Fax)


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