Medicare Physician Fee Schedule

House Dems Look to Prevent Medicare Payment Cuts

by Jacqueline LaPointe

UPDATE 12/08/2021: A deal has been reached to avert some of the pending Medicare payment cuts. Congressman Steven Horsford (D-NV) and Congresswoman Kim Schrier (D-WA) introduced the...

COVID-19 Associated with $13.9B Decline in Medicare Spending

by Sarai Rodriguez

According to a new American Medical Association (AMA) report, utilization of physician services in 2020 declined due to the COVID-19 pandemic, creating a less than expected decline of $13.9 billion in...

MGMA Calls on Congress to Prevent Impending Medicare Cuts

by Sarai Rodriguez

The Medical Group Management Association (MGMA) wrote to the Ways and Means Committee and requested a hearing to prevent the imminent Medicare cuts described in the Physician Fee Schedule final rule...

CMS Releases Final Rule for CY 2022 Medicare Physician Fee Schedule

by Jacqueline LaPointe

UPDATED CMS has finalized the calendar year (CY) 2022 Medicare Physician Fee Schedule to promote greater telehealth utilization, boost reimbursement rates for vaccine administration, and improve...

Physician Compensation, Staffing to Take Big Hit from 10% Medicare Cut

by Jacqueline LaPointe

Healthcare organizations are planning to reconsider physician compensation, hiring, and other initiatives if Congress does not stop looming Medicare payment cuts. Almost half (47 percent) of medical...

AHA Pens Oppositions to 2022 Physician Fee Schedule Proposed Rule

by Victoria Bailey

The American Hospital Association (AHA) has penned a letter to CMS Administrator Chiquita Brooks-LaSure detailing its concerns surrounding CMS’ proposed Physician Fee Schedule (PFS) for...

Lack of Healthcare Interoperability Hinders Electronic ACO Reporting

by Jacqueline LaPointe

CMS is looking to modernize the ACO reporting process by mandating the use of electronic clinical quality measures (eCQMs). However, accountable care organizations (ACOs) are concerned that the lack of...

AMA: Congress Must Reevaluate Medicare Physician Payment System

by Jill McKeon

AMA raised concerns over Congress’s “indifference” to the incoming pay cuts and financial instability of the Medicare physician payment system in a recent letter to congressional...

Key Quality Payment Program Changes in 2022 PFS Proposed Rule

by Jill McKeon

If finalized, the Quality Payment Program (QPP) will undergo significant policy changes under the Medicare Physician Fee Schedule (PFS) proposed rule. Most notably, the rule introduced the first seven...

The Good and Bad of the Medicare Physician Fee Schedule Proposal

by Jacqueline LaPointe

Physician groups are calling the Medicare Physician Fee Schedule proposed rule a mixed bag for practices, which now face a potential reduction in physician reimbursement next year, among other...

CMS Seeks Health Equity, Telehealth in Physician Fee Schedule Rule

by Jacqueline LaPointe

CMS has proposed a new rule that would update the Medicare Physician Fee Schedule and seek more health equity and telehealth utilization among physicians. The proposed rule would establish a new...

Physician Specialties Hit Hardest by Medicare Spending in 2020

by Jacqueline LaPointe

Medicare spending on physician services decreased by $9.4 billion, or 19 percent, in the first half of 2020 because of the COVID-19 pandemic, according to a new analysis from the American Medical...

CMS Recalculates Medicare Physician Fee Schedule Rates for 2021

by Jacqueline LaPointe

CMS has updated Medicare Physician Fee Schedule rates for 2021 after a COVID-19 stimulus package mitigated budget neutrality cuts finalized in a December rule. The Consolidated Appropriations Act,...

Providers, Lawmakers Say #StopTheCuts to Physician Fee Schedule

by Jacqueline LaPointe

With payment reductions looming for many providers paid under the Medicare Physician Fee Schedule, hundreds of medical organizations and lawmakers are pushing Congress to stop rate cuts finalized in...

CMS Finalizes 2021 Physician Fee Schedule, Including E/M Changes

by Jacqueline LaPointe

After some delay due to the COVID-19 pandemic, CMS has released the final rule for the 2021 Medicare Physician Fee Schedule. The final rule unveiled by CMS yesterday evening will dictate how much...

Lawmakers Seek Bipartisan Solution for Physician Fee Schedule Cuts

by Jacqueline LaPointe

Over 200 Representatives are calling on Congress to examine possible bipartisan solutions to address proposed Medicare Physician Schedule cuts for certain specialties, including surgical care. In a...

Top 3 Concerns with the 2021 Medicare Physician Fee Schedule Rule

by Jacqueline LaPointe

Provider groups are concerned that some proposals in the Medicare Physician Fee Schedule rule for 2021 would exacerbate the financial challenges physicians are already facing during the COVID-19...

Providers Want Budget Neutrality Waived for E/M Payment Changes

by Jacqueline LaPointe

In last week’s release of the proposed 2021 Medicare Physician Fee Schedule rule, CMS confirmed that it will implement changes to evaluation and management (E/M) payments by updating work...

CMS Proposes to Boost Office Visit Pay, Expand Telehealth Coverage

by Jacqueline LaPointe

Which Medicare waivers will be made permanent by CMS after the COVID-19 public health emergency is still up in the air, but the recently proposed 2021 Physician Fee Schedule rule indicates that...

Small Practices Benefit Less from Medicare’s Care Management Codes

by Jacqueline LaPointe

CMS added two care management codes to the Medicare Physician Fee Schedule to better support primary care practices, but a study from Harvard University suggests that the codes may not be working as...