On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released the proposed2022 Physician Fee Schedule(PFS). The PFS helps determine payment and reimbursement rates, clarifies evaluation and management policies, proposes policies for the 2022 performance year of the quality pa...
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...
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...
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...
CMS Issues Medicare Physician Fee Schedule without Finalizing Proposal Most Harmful to Independent LaboratoriesAlbert, Roy
1, 2022, released the calendar year (CY) 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule with comment period (CMS-1772-FC), which includes proposals to update payment rates, policies and regulations affecting M...
On March 15, 2023, the Centers for Medicare & Medicaid Services (CMS) issued an initial guidance memorandum[1] on the Medicare Drug Price Negotiation Program (Negotiation Program) created by the Inflation Reduction Act of 2022 (IRA). Public comments are due to CMS by April 14, 2023. CMS ...
(RTM) services under the Medicare program. The changes, part ofthe proposed 2023 Medicare Physician Fee Schedulerule, have been anticipated by digital health providers hoping to see more clarity and flexibility for RTM services. In this year’s proposed rule, CMS built upon its 2022 introdu...
CMS released the Medicare Physician Fee Schedule (MPFS) Proposed Rule for calendar year (CY) 2024.
Application of the Expansion of Telehealth Services to Teaching Physician Services.CMS specifies that during the PHE period, Medicare may make payment under the physician fee schedule (PFS) for teaching physician services, and the primary care exception, when a resident furnishes telehealth ser...