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 t...
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Exclusions such as the anomalous catheter spending in this proposed rule are part of a larger strategy from CMS to address SAHS billing activity within the Medicare Shared Savings Program, which the agency said it will detail in the forthcoming Physician Fee Schedule rule. The ...
Other provisions include an increase of the Medicare physician fee schedule by 2.5%, extensions of hospital-at-home waivers and the SUPPORT Act for opioid treatment, blocking patent thickets, billing transparency, the elimination of a $8 billion cut to Medicaid disproportionate share hospital funding...
Medical Staff:Clarifies that medical staffsmustbe composed of physicians, andmayinclude non-MD or DO physicians as well as non-physician practitioners, in accordance with State laws, determined to be eligible for appointment by the governing body; re-interprets existing provisions relating to multi...
Additionally, most of the clinicians participating in the program will see a positive payment adjustment based on their performance during the period. Specifically, 12 percent of MIPS eligible clinicians will receive a positive payment adjustment of up to 1.79 percent of their Medicar...