In July, CMS was proposing a 5% cut in reimbursement, but the final rule only calls for a 1% cut in radiation oncology reimbursements. That doesn’t mean freestanding centers are in the clear, however. How much Medicare will pay, in addition to policies that affect the practice expense comp...
CMS fee scheduleproductivityreimbursementtotal joint replacementswork relative value unitsIntroduction On December 20, 2020, the Centers for Medicare and Medicaid Services (CMS) finalized its proposed rule: CMS-1734-P. This 2021 Final Rule significantly changed Medicare total joint arthroplasty (TJA) ...
Better Reimbursement Rates for Virtual Care The 2025 fee schedule includes updated reimbursement rates for telehealth, making it more financially sustainable for OB-GYN practices and telehealth providers to offer virtual care. Telehealth visits will be reimbursed at the same rate as in-person visits fo...
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 hasproposeda new rule that would update the Medicare Physician Fee Schedule and seek more health equity and telehealth utilization among physicians. The proposed rule would establish a new conversion factor for physician Medicare reimbursement in 2022. CMS has proposed to decrease...
Remote patient monitoring may be catching on with health systems across the country, but its path to Medicare reimbursement is still a work in progress. The Centers for Medicare & Medicaid Services has included a new category of CPT codes in its proposed 2022 Physician Fee Schedul...
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, ...
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...
reduced by 0.4 percent for the productivity adjustment. This increase is 0.5 percent lower than the 3.1 percent increase implemented in the CY 2024 Final Rule. CMS aligned the fee schedule factor increase with the market basket increase factor proposed in the fiscal year 2025 Inpatient Prospecti...