Tag: Medicare Physician Fee Schedule


New Coding Classifications for 2023

Update your facility-specific guidelines accordingly for 2023. Although the new calendar year is not the beginning of the federal fiscal year, there are coding classifications and terminologies that changed on Jan. 1, 2023. Current Procedural Terminology® (CPT) and Healthcare Current Procedure Coding System (HCPCS) have releases that went out on Jan. 1. There are also […]
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Policy Changes for Medicare Payments Under the PFS

On November 2, 2022, the Centers for Medicare & Medicaid Services (CMS) issued CY 2023 Physician Fee Schedule Final Rule (Final Rule), implementing certain updates and policy changes for Medicare payments under the Physician Fee Schedule (PFS) and changes to the Medicare Shared Savings Program (MSSP), effective on or after January 1, 2023. The final […]
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Congress To Pass Legislation To Limit Medicare Payment Cuts

Waiving the PAYGO sequester requirements and updating the 2023 Medicare Physician Fee Schedule would help limit Medicare payment cuts to hospitals, FAH wrote. As the 117th Congress nears the end of its session, the Federation of American Hospitals (FAH) has called upon congressional leaders to pass legislation that will reduce financial challenges for hospitals, including […]
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The potential Medicare payment cuts for 2023

The potential Medicare payment cuts for 2023 reflect the proposed 4.5 percent decrease in the Medicare conversion factor and the 4 percent PAYGO sequester. As medical groups expect to see Medicare payment cuts in 2023, practices are considering limiting the number of new Medicare patients and reducing clinical staff to ensure financial stability, according to […]
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2023 Medicare Physician Fee Schedule on Unsustainable Cuts

Lower Medicare payments to physicians will lead to patient care by reducing access to services, according to medical groups commenting on the 2023 Medicare Physician Fee Schedule (PFS). In July, the U.S. Centers for Medicare & Medicaid Services (CMS) announced the 2023 proposed rule and physician groups have been responding, including with detailed comments published […]
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New Rule on Medicare Physician Fee Schedule for the CY 2023

In addition to physician reimbursement cuts, CMS included changes to the Quality Payment Program in the CY 2023 Medicare Physician Fee Schedule proposed rule. In its recently released calendar year (CY) 2023 Medicare Physician Fee Schedule (PFS) proposed rule, CMS proposed Quality Payment Program (QPP) changes to the Merit-based Incentive Payment System (MIPS) and Advanced […]
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AMA Urges Congress to Update Medicare Physician Payment System

The American Medical Association urged congressional leaders to lift the freeze on Medicare physician payments and provide updates that reflect inflation and practice costs. Following a recent Medicare Payment Advisory Commission (MedPAC) report, the American Medical Association (AMA) has asked Congress to update the Medicare physician payment system to include a stable annual payment rate […]
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2022 Claims Reimbursement Updates in Emergency Medicine

Emergency medicine is facing a host of claims reimbursement updates this year, from looming Medicare payment cuts to new rules about the split and critical care visits. Emergency department providers are still reeling from the effects of the ongoing pandemic. But other important updates are also happening in the background—and they are likely to impact […]
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AMA Challenges MedPAC Suggestion to Freeze Medicare Physician Payment

The industry group states that Medicare physician payment bump will hinder the delivery of high-quality care as providers face financial burdens. MedPAC, a panel tasked with advising Congress on issues impacting the Medicare program, voted to recommend no increase to 2023 Medicare reimbursement rates for physicians. “Temporary or high variable coronavirus effects are best addressed […]
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CMS Releases Final Rule for CY 2022 Medicare Physician Fee Schedule

  CMS has finalized the calendar year (CY) 2022 Medicare Physician Fee Schedule to promote greater telehealth utilization, boost reimbursement rates for vaccine administration, and improve health equity, among other initiatives, the federal agency said. The final rule will implement “a series of standard technical proposals” as part of CY 2022 rate-setting, CMS said. The […]
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