On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final2023 Medicare Physician Fee Schedule(PFS) rule. As finalized, some of the most significant telehealth policy changes include: Discontinuing reimbursement of telephone (audio-only) evaluation and management (E...
In the recently issued calendar year 2025 Physician Fee Schedulefinal rule(Final Rule), the Centers for Medicare & Medicaid Services (CMS) finalized a number of policies related to the Medicare Prescription Drug Inflation Rebate Program (the Program). CMS established...
Schilsky, MD Some radiation oncologists may breathe a little easier for now because the Centers for Medicare & Medicaid Services (CMS) has decided not to cap certain freestanding radiation oncology reimbursements in its Physician Fee Schedule Final Rule, which was issued November 27. Both the Amer...
The Medicare Physician Fee Schedule Final Rule for CY 2023 extended the coverage of telehealth services for 2023.
(the JZ modifier) to attest that there were no discarded drug amounts. CMS proposed requiring the use of the JZ modifier in all instances in which there are no discarded amounts of single-dose and single-use package drugs. In the CY 2023 Medicare Physician Fee Schedule (MPFS...
CMS, in its final 2023 physician fee schedule , backtracked from an earlier proposal to reimburse telehealth at the facility payment rate, a rate lower than that for in-person services and which was used before the pandemic, through 2023. Earlier this......
Under the physician fee schedule (PFS), average payment rates will reduce the conversion factor by 2.83% in 2025 compared to 2024 rates, resting at $32.35 in 2025 compared to $33.29 in 2024. The PFS final rule eliminates the temporary 2.93% increase in Medicare physician paymen...
In the recently issued calendar year 2025 Physician Fee Schedule final rule (Final Rule), the Centers for Medicare & Medicaid Services (CMS) finalized a number of policies related to the Medicare Prescription Drug Inflation Rebate Program (the Program). CMS established...
CMS fee scheduleproductivityreimbursementtotal joint replacementswork relative value unitsIntroduction On December 20, 2020, the Centers for Medicare and Medicaid Services (CMS) finalized its proposed rule: CMS-1734-P. This 2021 Final Rule significantly changed Medicare total joint arthroplasty (TJA) ...
The proposed 2022 Medicare Physician Fee Schedule and Quality Payment Program rules released by Centers for Medicare and Medicaid Services (CMS) may usher in a wide range of changes, including a 3.75% reduction in the conversion factor used to calculate payments to physicians. However, according to...