The 2025 fee schedule includes updated reimbursement rates for telehealth, making it more financially sustainable for OB-GYN practices and telehealth providers to offer virtual care. Telehealth visits will be reimbursed at the same rate as in-person visits for certain maternity services. Remote patient...
CMSissuedthe the calendar year 2025 Medicare physician fee schedule final rule with the goal of strengthening primary care and increasing access topreventive services. Under the physician fee schedule (PFS), average payment rates will reduce the conversion factor by 2.83% in 2025 comp...
August 19, 2016 Share The most significant change for physical and occupational therapists in the Medicare proposed Physician Fee Schedule for 2017 is the replacement of current CPT codes for evaluations and reevaluations. The change reflects the work of the APTA and AOTA to establish CPT evaluation...
CMS proposes updates to the payment rates for Partial Hospitalization Programs (PHPs) and Intensive Outpatient Programs (IOPs) furnished in HOPDs and Community Mental Health Centers (CMHCs). The Proposed Rule includes revisions to the coding and billing requirements for PHP and IOP services to ...
Commencing January 1, 2017, Medicare will pay for mental and behavioral health services under new billing codes set forth in the 2017 Medicare Physician Fee Schedule Final Rule (the “MPFS Final Rule†) issued by the Centers for Medicare & Medicaid Services (CMS) on November 2, ...
The Centers for Medicare & Medicaid Services (“CMS”) has announced its proposed rules for theHospital Outpatient Prospective Payment (“OPPS”) and Ambulatory Surgical Center (“ASC”) Payment Systems, as well as its calendar year (CY)2024 proposed Physician Fee Schedule(“PFS”), (colle...
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On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final 2023 Medicare Physician Fee Schedule (PFS) rule.
Like in previous editions of the Fee Schedule, CMS continued its work aiming to simplify billing and coding requirements for office and outpatient visits. The agency plans to align its E/M visit coding and documentation policies with changes laid out by the C...
Exclusions such as the anomalous catheter spending in this proposed rule are part of a larger strategy from CMS to address SAHS billing activity within the Medicare Shared Savings Program, which the agency said it will detail in the forthcoming Physician Fee Schedule rule. ...