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 therapeut...
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...
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...
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”), ...
On July 13, the Centers for Medicare & Medicaid Services (CMS) released a 1,920-page proposed rule that would update payment policies and programs regarding Medicare payments to physicians and other providers under the Physician Fee Schedule (PFS) on or after January 1, 2024. Every year, ...
(See Holland & Knight's previous alert, "CMS Issues CY 2024 Medicare Physician Fee Schedule Final Rule," Nov. 15, 2023.) ASC Conversion Factor CMS is finalizing its CY 2024 ASC conversion factor to $53.514 for ASCs meeting quality reporting requirements and $52.476 for those that fail to ...
To align with the CY 2023 physician fee schedule final rule that assigned dental payments to clinical APCs, CMS has finalized Medicare payment rates to over 240 dental codes. Hospital Price Transparency Toimprove price transparency, CMS is finalizing standard charge display requirements and enforcement...
services for Medicare Advantage beneficiaries. Previous regulations have established Medicare benefit categories for services provided by marriage and family therapists and mental health counselors. The2024 Physician Fee Schedulealso states that addiction or drug and alcohol counselors can e...
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 American Society f...
The article presents an overview of the Medicare Physician Fee Schedule Final Rule, which was issued on November 1, 2012 by the U.S. Centers for Medicare & Medicaid Services, and discusses the...