I think for FP's it will be pretty much a wash, but if it means less time worrying about choosing codes and making sure you have all the necessary elements I'm all for it. I don't see a big change in how I handle appts since I generally try to take care of what I can in the time I've got, then ask them them come back if there's more. In other words coding isn't determining how I see patients now.
I'm in good shape for MIPS for 2019 and probably for 2020.