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 establish...
In the CY 2023 Medicare Physician Fee Schedule (MPFS) final rule, CMS codified the JW modifier for wasted or discarded units. Some stakeholders commented that requiring the use of the JZ modifier would cause confusion and increase overhead burden among providers and was unnecessary g...
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 Proposed R...
The Medicare Physician Fee Schedule Final Rule for CY 2023 extended the coverage of telehealth services for 2023. • Source: Shutterstock The Centers for Medicare & Medicaid Services released its Physician Fee Schedule (PFS) for 2023 which extends coverage for some telehealth services that were ...
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 compared ...
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 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”), ...
in theCMS Medicare Physician Fee 2023 rule, CMS ultimately finalized a payment update that the AHA notesreducespayments by around 4.5%. This has led to several physicians urging Congress to pass theSupporting Medicare Providers Act of 2022to extend a paym...
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...