CMS paid the equivalent of the Physician Fee Schedule (PFS) payment rate for clinic visits provided at excepted off-campus provider-based departments (PBDs), an amount that is
On July 13, 2023,CMS issued a proposed rulethat identifies and seeks public comments on a broad array of proposed changes to the Medicare Physician Fee Schedule and Medicare Part B payments (the proposed rule). If finalized, the proposed changes would take effect January 1, 2024....
In CY 2023, CMS said it has observed what it calls SAHS (significant, anomalous, and highly suspect) billing for the Healthcare Common Procedure Coding System (HCPCS) codes A4352 (Intermittent urinary catheter; Coude (curved) tip, with or without coating (Teflon, silicone, ...
The Proposed Rule is open for a 60-day comment period that will close on Sept. 11, 2023. The Final Rule with comment is expected to be issued in early November 2023. To learn more about the Medicare Physician Fee Schedule Proposed Rule, review the following resources ...
The Centers for Medicare & Medicaid Services (CMS) issued its2025 Physician Fee Schedule (PFS) proposed ruleearlier this month. Alongside a2.8 percent payment cutfor physicians, the rule includes numerous proposals directed at virtual care, including brand new codes for certain digital the...
Changes to Current Procedural Terminology/Healthcare Common Procedure Coding System (CPT/HCPCS) codes and Medicare Physician Fee Schedule designations will be used to revise CWF edits to allow MACs to make appropriate payments in accordance with policy for SNF consolidated billing in chapter 6, ...
CMS published this annual update in conjunction with its annual physician fee schedule updates. CMS advised that going forward, however, it planned to add codes or advise the public of Code List changes only via the Code List’sspecific website. It is unclear if CMS will be making updates ...
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 Prospecti...
are subject to inflation-based rebates codified in the Inflation Reduction Act (IRA) and aligned with regulations in the CY 2024 Medicare Physician Fee Schedule (MPFS). (See Holland & Knight's previous alert, "CMS Issues CY 2024 Medicare Physician Fee Schedule Final Rule," Nov. 15, 2023.)...