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...
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 ...
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...
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 payments as...
The Centers for Medicare & Medicaid Services (“CMS”) has announced its proposed rules for the Hospital Outpatient Prospective Payment (“OPPS”) and Ambulatory Surgical Center (“ASC”) Payment Systems, as well as its calendar year (CY) 2024 proposed Physician Fee Schedule (“PFS”), (...
July 14, 2023 — The Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2024 Medicare Physician Fee Schedule (PFS) proposed rule to announce rate updates, advance health equity, and expand access to critical medical services — including behavioral health care and certa...
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...
In its 2023 final physician fee schedule rule released November 2022, CMS finalized a series of significant changes to Medicare’s largest ACO program, the Shared Savings Program (MSSP).Some of the more minor changes included in that rule went into effect in 2023, while the most significant ch...
believe would be an unintended barrier to accessing vital health care services," said Krista Drobac, Executive Director of Alliance for Connected Care, in the letter to CMS. "This timeline is too rapid for CMS to address in its annual CY2024 Medicare Physician Fee Schedule ...
CMS finalized its proposal to exempt excepted off-campus provider-based outpatient departments of rural SCHs from the payment cuts initially adopted by CMS in the CY 2019 final rule. Under that 2019 rule, CMS paid the equivalent of the Physician Fee Schedule (PFS) payment rate fo...