On November 2, the Centers for Medicare & Medicaid Services (CMS) released its annual final rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2023, which.
Implementation of Congressional Telehealth Improvements. In March 2022, President Biden signed the Consolidated Appropriations Act, 2022, an omnibus funding bill that included several.
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The Medicare Physician Fee Schedule Final Rule for Calendar Year 2021 (the Final Rule) issued by the Centers for Medicare & Medicaid Services (CMS) on December 1, 2020, and published in the Federal Register on December 28, 2020, made significant and far-reaching changes to the Medicare Physician Fee Schedule (PFS). In the Final Rule, which went into effect on January 1, 2021, CMS implemented changes to streamline the reporting process for office and outpatient evaluation and management (E/M) services and increased the relative value units (RVUs) for E/M services.
To account for the increase in RVUs for E/M services and still maintain compliance with the budget neutrality adjustment, CMS decreased the 2021 conversion factor to $32.41, down $3.68 (or 10%) from 2020. CMS also implemented a number of changes reflecting permanent shifts to the healthcare system as a result of COVID-19 by expanding reimbursable telehealth servi
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While much of the health care industry looks to put this year in the rear view mirror, planning ahead for Connecticut providers who treat Medicare beneficiaries requires taking stock of the recently issued Physician Fee Schedule Final Rule that goes into effect January 1, 2021. The Centers for Medicare and Medicaid Services (CMS) annual update of payment rates and policies adopts simplified evaluation and management (E/M) coding and documentation requirements, and expands coverage for telehealth services and the scope of practice of non-physician practitioners, but all of this is tempered by the final rule significantly reducing reimbursement for some providers.
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On December 2, 2020, CMS issued a final rule updating the payment policies and rates for services to be furnished under the Medicare Physician Fee Schedule (PFS) in calendar year (CY) 2021. The final rule includes significant rate increases for evaluation and management services (and a corresponding budget-neutrality adjustment for all other services), an expansion of the telehealth services covered by Medicare, an expansion to the range of covered services for non-physician practitioners, and revisions to the definition of “direct supervision” to include virtual presence for the remainder of the public health emergency.