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...
Section 4124(b) of the Consolidated Appropriations Act of 2024 established coverage for IOP services effective Jan. 1, 2024. CMS finalized the payment and program requirements for the new IOP benefit. The Final Rule includes the scope of benefits, physician certification requirements, coding and bil...
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. The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2024 Revisions to Pa...
1 Current Procedural Terminology (CPT) © 2024 American Medical Association. All Rights Reserved. CPT is a registered trademark of the American Medical Association. 2 Source: CMS CY2025 Physician Fee Schedule (PFS) Final Rule: CMS 1807-F, including related PFS ad...
The Proposed Rule is open for a 60-day comment period that will close on Sept. 9, 2024. The Final Rule with comment is expected to be issued on or by Nov. 1, 2024. To learn more about the OPPS and ASC Proposed Rule, review the following resources: ...