The Alliance of Specialty Medicine shared concerns with finalized policies in CMS’ 2020 Medicare Physician Fee Schedule (MPFS) rule, focusing on payment for evaluation and management (E/M) services and principal care management (PCM) services. Specifically, the Alliance urged CMS to reverse its decision to exclude the updated E/M values in codes with global periods, noting the importance of maintaining the integrity of the resource-based relative value system. The specialty doctors also urged CMS to establish educational materials that clearly describe the differences in and appropriate scenarios for coding and billing PCM services.