Health Reform WK-EDGE CMS plans changes to physician fee schedule
Wednesday, August 2, 2017

CMS plans changes to physician fee schedule

By Kathryn S. Beard, J.D.

CMS was unable to identify enough reductions in misvalued codes to reach the 0.5 percent savings it was aiming for in its update to the physician fee schedule (PFS) for 2018, and proposed a conversion factor of $35.99, a 0.31 percent increase over 2017. In a Proposed rule, CMS addressed the conversion factor, misvalued code target, PFS payment rates to off-campus provider-based departments (PBDs), and telehealth services. The agency also proposed to expand the Medicare Diabetes Prevention Program (MDPP), which is being tested through the Patient Protection and Affordable Care Act’s (ACA) (P.L. 111-148) Innovation Center. The Proposed rule also included a Request for Information (RFI) seeking feedback on Medicare as part of what the agency called "a national conversation about improving the healthcare delivery system." Comments on the Proposed rule are due by September 11, 2017 (Proposed rule, 82 FR 33950, July 21, 2017).

For more information, see CMS plans changes to physician fee schedule, July 14, 2017.

Companies: American Hospital Association

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