Physician Fee Schedule

14 Aug 2024

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Federally Qualified Health Centers (FQHCs), Medicare Physician Fee Schedule (MPFS), Medicare Physician Fee Schedule (PFS), Physician Fee Schedule, Rural Health Clinics (RHCs), Telehealth, Telemedicine 0 comments

Proposed Medicare Physician Fee Schedule Would Extend Telehealth Flexibilities and Add New Coverage

Summary PointsThe Centers for Medicare & Medicaid Services (CMS) released its annual proposed rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2025.1The proposed rule includes various provisions related to telehealth service delivery and other virtual care modalities. Similar to recent proposed rules, many of the provisions seek to extend temporary telehealth and virtual care flexibilities […]

CMS 2025 Physician Fee Schedule Proposed Rule: What PAs Need to Know

5 Aug 2024

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Medicare Physician Fee Schedule (MPFS), Medicare Physician Fee Schedule (PFS), Medicare Shared Savings Program (MSSP), Physician Fee Schedule, Remote Physiological Monitoring (RPM), Shared Savings Program 0 comments

CMS 2025 Physician Fee Schedule Proposed Rule: What PAs Need to Know

AAPA Reimbursement TeamAugust 2, 2024The Centers for Medicare and Medicaid Services (CMS), the federal agency that oversees the Medicare program, released the 2025 Physician Fee Schedule (PFS) proposed rule. The rule updates numerous Medicare coverage and payment policies that impact PAs, physicians, and other health professionals.This year’s rule made no mention of any change to the […]

What the CMS 2025 PFS proposed rule means for virtual care

5 Aug 2024

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Medicare Physician Fee Schedule (PFS), Physician Fee Schedule, Remote Physiological Monitoring (RPM), Remote Therapeutic Monitoring (RTM) 0 comments

What the CMS 2025 PFS proposed rule means for virtual care

The 2025 PFS proposed rule extends existing virtual care payment rules and introduces new codes for digital therapeutics, highlighting virtual care’s lasting role in healthcare. The Centers for Medicare & Medicaid Services (CMS) issued its 2025 Physician Fee Schedule (PFS) proposed rule earlier this month. Alongside a 2.8 percent payment cut for physicians, the rule includes numerous proposals directed […]

19 Jan 2024

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Health Resources and Services Administration (HRSA), Physician Fee Schedule 0 comments

CMS drops 4 final payment rules for 2024: 19 takeaways

Andrew Cass, Nick Thomas and Alan Condon – 14 hours ago SavePostTweetShareListenText SizePrintEmail CMS has released annual payment updates for physicians, hospital outpatient settings and the Medicare Shared Savings Program as well as a remedy for the 340B-acquired drug payment policy. Physician fee schedule rule 1. The physician fee schedule conversion factor for 2024 is $32.74, a […]

RTM vs. RPM CPT Codes 2024 Takeways and Rates

6 Dec 2023

American Medical Association (AMA), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Current Procedural Terminology (CPT®) code set, Federally Qualified Health Centers (FQHCs), Physician Fee Schedule, Remote Patient Monitoring, Remote Therapeutic Monitoring (RTM), Rural Health Clinics (RHCs) 0 comments

RTM vs. RPM CPT Codes 2024: Takeways and Rates

In this article, you’ll learn the differences and rates between RTM billing codes and RPM billing codes for 2024. CMS released the CY 2024 Physician Fee Schedule Final Rule in November 2024. The final rule includes 3,000 pages of detailed policy changes related to remote therapeutic monitoring (RTM) and remote patient monitoring (RPM) Medicare reimbursement. This article breaks down the […]

1 Dec 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Physician Fee Schedule, Telehealth 0 comments

2024 Medicare Physician Fee Schedule Extends Telehealth Flexibilities

The 2024 Medicare Physician Fee Schedule final rule, released by the Centers for Medicare & Medicaid Services (CMS) earlier this month, extended certain telehealth-related flexibilities that were implemented during the early days of the COVID-19 pandemic. CMS issued a Fact Sheet summarizing the telehealth updates, as well as other important Medicare policy changes. Until 2020, Medicare reimbursed […]

14 Nov 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Physician Fee Schedule, Public Health Emergency (PHE), Telehealth 0 comments

Final CY 2024 Medicare Physician Fee Schedule Extends Many Telehealth Flexibilities Through 2024

Changes to the Medicare Telehealth Services List Structure and Updates Process Prior to the COVID-19 public health emergency (PHE), the Centers for Medicare & Medicaid Services (CMS) evaluated changes to the Medicare Telehealth Services List (the List) through an annual rulemaking process. Through this process, CMS considered whether a service met one of two criteria […]

Top 5 Rules for Medicare 2024 Remote Patient Monitoring and Remote Therapeutic Monitoring What Companies Need to Know

8 Nov 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Current Procedural Terminology (CPT®) code set, Physician Fee Schedule, Public Health Emergency (PHE), Remote Patient Monitoring, Remote Therapeutic Monitoring (RTM) 0 comments

Top 5 Rules for Medicare 2024 Remote Patient Monitoring and Remote Therapeutic Monitoring: What Companies Need to Know

“This article was originally published by Foley & Lardner LLP [Centers for Medicare and Medicaid Services RPM Policies (natlawreview.com)] on [11/8/2023], and is reprinted with permission.” On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) finalized new policies related to remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) services reimbursed under the […]

3 Nov 2023

American Medical Association (AMA), American Physical Therapy Association’s (APTA), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Physician Fee Schedule 0 comments

Final 2024 Physician Fee Schedule Reflects System’s Flaws; Includes Some Wins

First, the bad news: The final 2024 Physician Fee Schedule rule rolled out by the U.S. Centers for Medicare & Medicaid Services contains virtually the same cuts to payment under Medicare Part B as were in the proposed rule. But this time around, there’s also good news: Many of the more positive elements in the […]

15 Sep 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Physician Fee Schedule, Telehealth 0 comments

The Comments are In! Responses to the Physician Fee Schedule Proposed Reg

Time’s up and pencils down! Comments on the calendar year (CY) 2024 physician fee schedule (PFS) proposed reg were due earlier this week. Now, the Centers for Medicare & Medicaid Services (CMS) will have to review them and issue a final reg on or before November 1, 2023—60 days before the start of the new […]

ATA AND ATA ACTION SUBMIT DETAILED COMMENTS IN RESPONSE TO THE CMS CY2024 PHYSICIAN FEE SCHEDULE PROPOSED RULE

29 Aug 2023

American Telemedicine Association (ATA), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Physician Fee Schedule, Public Health Emergency (PHE) 0 comments

ATA AND ATA ACTION SUBMIT DETAILED COMMENTS IN RESPONSE TO THE CMS CY2024 PHYSICIAN FEE SCHEDULE PROPOSED RULE

WASHINGTON, DC, AUGUST 29, 2023 — The American Telemedicine Association (ATA) and ATA Action submitted comments in response to the Centers for Medicare & Medicaid Services (CMS) CY2024 Physician Fee Schedule (PFS) proposed policy changes for Medicare payments under the PFS, and other Medicare Part B issues. The ATA and ATA Action commend CMS for extending most of the telehealth flexibilities implemented […]

29 Aug 2023

American Telemedicine Association (ATA), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, COVID-19 - Coronavirus, Physician Fee Schedule, Public Health Emergency (PHE), Telehealth 0 comments

TELEHEALTH LOBBY LAUDS CMS’ ’24 PHYSICIAN FEE SKED PROPOSED RULE

The American Telemedicine Association and affiliate ATA Action are voicing support for the Centers for Medicare & Medicaid Services’ proposed rule for the 2024 Physician Fee Schedule, which the advocates note extends into the new year the telehealth flexibilities put forward during the COVID-19 public health emergency. “The proposed rule is, overall, positive for the telehealth community and patients, and […]

Key remote patient monitoring takeaways from the 2024 PFS proposed rule

17 Aug 2023

Behavioral Health Integration (BHI), Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Federally Qualified Health Centers (FQHCs), Physician Fee Schedule, Remote Patient Monitoring, Rural Health Clinics (RHCs) 0 comments

Key Remote Patient Monitoring Takeaways from the 2024 PFS Proposed Rule

Aug 17, 2023 Daniel Tashnek, JD In the proposed role, CMS proposed to clarify that it is permissible to bill for RPM or remote therapeutic monitoring services, but not both at the same time. The Centers for Medicare & Medicaid Service (CMS) recently published its 2024 physician fee schedule (PFS) proposed rule. One subject receiving a fair […]

Relief bill provisions complicate care for homebound patients

15 Aug 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Consolidated Appropriations Act (CAA), COVID-19 - Coronavirus, Physician Fee Schedule, Public Health Emergency (PHE), Telehealth 0 comments

CMS Telehealth Services

14 Aug 2023

Blog, Centers for Medicare & Medicaid Services (CMS) - Medicare, Current Procedural Terminology (CPT®) code set, Physician Fee Schedule, Remote Patient Monitoring, Remote Therapeutic Monitoring (RTM), Telehealth 0 comments

CMS 2024 Proposed Rule Key Takeaways for RPM, RTM & Telehealth

CMS 2024 Proposed Rule Policy Updates On July 13, 2023, the Center for Medicare and Medicaid Services (CMS) released the CMS 2024 Proposed Rule and Medicare Physician Fee Schedule, including possible Medicare payments under the Physician Fee Schedule and other Medicare Part B issues policy updates. While the CMS 2024 proposed rule contained no new CPT […]

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