Please click the link to view the Medicare Physician Fee Schedule Final Rule Summary for 2023.
Medicare & Reimbursement
Medicare Proposes 2023 Physician Pay Cuts
By Michael Cassidy on
Posted in Articles, Medicare & Reimbursement
On July 7, 2022, CMS released its proposed Medicare Physician Fee Schedule for 2023, which proposes physician fee schedule reductions via the Medicare Conversion Factor.
- The general Medicare conversion factor will be reduced by 4.4% from $34,61 to $33.08
- The anesthesia conversion factor will be reduced 3.9% from $21.56 to $20.72
The link is attached
2022 Medicare Rules for Facility-Based Split/Shared Visits
By Michael Cassidy on
Posted in Articles, Medicare & Reimbursement
There has been much discussion and controversy over the new CMS position on billing for split/shared services in facility settings.
As originally proposed, and starting in January 2022, if the service was shared among providers (such as physicians and physician assistants), the provider who performed the substantive portion of the visit would be the provider…
“Stark” Rules: Navigating Physician Leases and Subleases
By Michael Cassidy on
Under the Federal Ethics in Patient Referrals Act (more commonly known as “Stark”), if a physician[1] has a financial relationship with an entity, the physician may not refer patients to the entity for medical services payable by Medicare unless the financial relationship complies with the Stark safe harbors. Thus, entities that lease or sublease…
CMS Policy Summary: 2022 Medicare Physician Fee Schedule, Telehealth Originating Site Facility Fee and Services List, and Physician Assistant Billing
By Michael Cassidy on
In MLN Matters article MM 12159, CMS has published summaries of the following:
- Updates to payment policies and Medicare payment rates for services provided by physicians and non-physician practitioners (NPP)
- Updates to Medicare telehealth services and telehealth originating site facility fee payment amounts
- Billing for a physician assistant (PA) services
CMS Updates COVID-19 Vaccine Shot Payment
By Michael Cassidy on
Posted in Articles, Medicare & Reimbursement
MLN Connects, on Monday August 16, 2021, published a special edition on COVID-19 vaccines codes and payment. It references the CMS explanation entitled “Medicare COVID-19 Vaccine Shot Payment”.
I have also attached a PDF of both documents if you cannot access the links.
CMS has Published the 2022 Medicare Physician Fee Schedule Proposed Rule
By Michael Cassidy on
Posted in Medicare & Reimbursement
The 2022 Medicare Physician Fee Schedule was proposed and published by CMS on Friday, July 23, 2021. Here is the link: https://www.govinfo.gov/content/pkg/FR-2021-07-23/pdf/2021-14973.pdf
Correction: 2021 Medicare Conversion Factor
By Michael Cassidy on
Posted in Articles, Medicare & Reimbursement
The correct Medicare conversion factor for 2021 is $34.8931. I apologize for the math error.
2021 Medicare Physician Fee Schedule changes
By Michael Cassidy on
Click here to read the article on the 2021 Medicare Physician Fee changes which appeared in the March 2021 edition of the Allegheny County Medical Society Bulletin.
2021 Medicare Fee Schedule Conversion Factor Reduction Reversed
By Michael Cassidy on
Posted in Articles, Medicare & Reimbursement
CY 2021 Physician Fee Schedule Update
On December 27, 2020, the Consolidated Appropriations Act modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS):
- Provided a 3.75% increase in MPFS payments for CY 2021
- Suspended the 2% payment adjustment (sequestration) through March 31, 2021
- Reinstated the 1.0 floor on the work Geographic Practice Cost
…