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  1. Aug 15, 2024 · Access Medicare Fee Schedules for physicians, ambulance services, clinical laboratory services, DMEPOS, and other Medicare FFS providers.

  2. CMS issued the CY 2024 Physician Fee Schedule (PFS) final rule that announces policy changes for Medicare payments under the PFS and other Medicare Part B payment policy issues. See a summary of key provisions effective January 1, 2024.

    • Background on the Physician Fee Schedule. Since 1992, Medicare payment has been made under the PFS for the services of physicians and other billing professionals.
    • Evaluation and Management (E/M) Visits. CMS is engaged in an ongoing review of payment for E/M visit code sets. For CY 2022, we finalized several policies that take into account the recent changes to E/M visit codes, as explained in the AMA CPT Codebook, which took effect January 1, 2021.
    • Critical Care Services. For critical care services, we are refining our longstanding policies, establishing that: Critical care services are defined in the CPT Codebook prefatory language for the code set.
    • Therapy Services. CMS is completing implementation of section 53107 of the Bipartisan Budget Act of 2018, which requires CMS, through the use of new modifiers (CQ and CO), to identify and make payment at 85 percent of the otherwise applicable Part B payment amount for physical therapy and occupational therapy services furnished in whole or in part by physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) ─ when they are appropriately supervised by a physical therapist (PT) or occupational therapist (OT), respectively ─ for dates of service on and after January 1, 2022.
  3. Beginning January 1, 2022, Physician Assistants (PAs) will be authorized to bill the Medicare program and will be paid directly for their services in the same as nurse practitioners (NPs) and clinical nurse specialists (CNSs).

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  4. Nov 2, 2021 · The Centers for Medicare and Medicaid Services (CMS) on Nov. 2 released the 2022 Medicare Physician Fee Schedule (PFS) final rule, addressing Medicare payment and quality provisions for physicians in the next fiscal year. Under the rule, the conversion factor will decrease by $1.30 on Jan. 1, 2022, going from $34.89 to $33.59.

  5. Dec 31, 2023 · The Centers for Medicare & Medicaid Services (CMS) has released the final rule for the 2022 Medicare physician fee schedule. This rule includes updates to payment rates for 2022; expands the use of telehealth for mental health; and makes changes to policies for the 2022 performance year of the Quality Payment Program; among many other provisions.

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  7. Physician Payment Schedule. On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2022 Revisions to Payment Policies under the Physician Fee Schedule (PFS) and Other Changes to Part B Payment Policies proposed rule (published in the Federal Register on July 23, 2021 – Docket number CMS-1751-P).

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