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CWTC [Episode 158] CMS Final Rules for 2023

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Physician Fee Schedule CY2022

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CMS issued the CY 2022 Medicare Physician Fee Schedule (PFS) final rule that updates payment policies, payment rates, and other provisions for services. This is a summary of key provisions, effective on or after January 1, 2022: Revises telehealth services under the Consolidated Appropriations Act, 2021; allows use of audio-only communications technology when furnishing mental health services […]

Physician Fee Schedule and Quality Payment Program CY2020 Proposed Rule

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As part of CMS’s annual changes to the Medicare Physician Fee Schedule and Quality Payment Program, the agency’s proposals are aimed at reducing burden, recognizing clinicians for the time they spend with patients, removing unnecessary measures and making it easier for them to be on the path towards value-based care.  Last year, the Trump Administration finalized […]

Physician Fee Schedule CY2019 Proposed Rule

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Today, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the […]

Physician Fee Schedule 2018

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On November 2, 2017, CMS issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2018. The calendar year (CY) 2018 PFS final rule is one of several final rules that reflect a broader Administration-wide […]

Final Rule: Physician Fee Schedule CY2017 and Medicare Parts B, and D

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This major final rule addresses changes to the physician fee schedule and other Medicare Part B payment policies, such as changes to the Value Modifier, to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This final rule […]

CMS Updates Physician Fee Schedules for CY2013

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CMS issued a final rule with comment period for Medicare’s payments for physician fees for 2013.  It includes a new policy to pay a patient’s physician or practitioner to coordinate the patient’s care in the 30 days following a hospital or skilled nursing facility stay.  Recognizing the work of community physicians and practitioners in treating […]

Proposed Rule for Medicaid Primary Care and the Children’s Vaccination Program

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CMS ha issued a proposed rule which provides increased payments for certain Medicaid primary care services.  Under this provision, certain physicians that provide eligible primary care services would be paid the Medicare rates in effect in calendar years (CY) 2013 and 2014 (or if greater, the Medicare rate in effect in 2009) instead of their […]