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”), (coll...
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 com...
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. The ...
The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2024 Revisions to Payment Policies Under the Physician Fee Schedule (MPFS) and Other Revisions to Medicare Part B (CMS-1784-P) Proposed Rule, which includes proposals related to Medicare physician...
reduced by 0.4 percent for the productivity adjustment. This increase is 0.5 percent lower than the 3.1 percent increase implemented in the CY 2024 Final Rule. CMS aligned the fee schedule factor increase with the market basket increase factor proposed in the fiscal year 2025 Inpatient Prospect...
On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final 2023 Medicare Physician Fee Schedule (PFS) rule.
Centers for Medicare and Medicaid Services (CMS) is taking steps to resolve a billing problem related to purchase of diagnostic tests payable under Medicare's Part B physician fee schedule. The first step that will be effective from November 22, 2004 stipulates that providers who purchase out-of...
In its 2024 Medicare Physician Fee Schedule (MPFS)final rule, the Centers for Medicare & Medicaid Services (CMS) included asectiontitled “Clarifications for Remote Monitoring Services”, responding to comments received on the proposed rule relating to remote patient monitoring (RPM), remote therapeu...
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Among those policies is an expansion of telehealth services under the Physician Fee Schedule. If finalized, the rule would codify recently enacted legislation that removes some statutory restrictions on telehealth use for the diagnosis, evaluation, and treatment of mental health disor...