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07/22/2024
You can say goodbye to the elevated payment rates that have buoyed Part B professional fees for most of 2024. Should CMS’ proposals in the latest physician fee schedule hold, providers and medical groups will see a nearly 3% reduction to the Medicare Part B conversion factor in 2025.
07/22/2024
Practices can get a first glimpse of new codes they can expect to see in the 2025 CPT manual in the proposed fee schedule, as CMS proposes work valuations for them. The agency also floated new HCPCS services.
07/22/2024
COVID-19 public health emergency (PHE) policies will be a factor in CMS telehealth policy even after the existing telehealth waivers expire on Dec. 31, 2024.
07/22/2024
New services are proposed to cover providers’ treatment of at-risk patients and for the provision of cognitive therapy via digital devices, but there’s some question as to whether the payment rates will spur adoption.
07/22/2024
CMS proposes a series of “enhanced care management” codes that would incentivize providers to apply care management methods to their primary and cardiac care patients.
07/22/2024
Start your appraisal of CMS’ plans for a new care management service by closely reviewing the codes’ descriptors. The agency plans to introduce an advanced primary care management (APCM) service that CMS describes as an “enhanced care management” service in the proposed 2025 Medicare physician fee schedule.
07/22/2024
Most of the changes to the Quality Payment Program (QPP) and its Merit-based Incentive Payment System (MIPS) and Advanced alternative payment model (APM) tracks in the 2025 physician fee schedule proposed rule are modest. But the biggest story is perhaps the stalled status of a major MIPS reform, and its possible role as a catalyst in changing MIPS in other ways.
07/22/2024
In the 2025 physician fee schedule proposed rule, the Medicare Shared Savings Program (MSSP) is trying a few new things, including a program to let more MSSP accountable care organizations (ACO) get their savings up front — but at a price.
07/22/2024
CMS seeks to maintain a focus on behavioral health management, debuting a range of new HCPCS codes that, should they become finalized, would add a bevy of new billing opportunities for Part B providers come Jan. 1, 2025.

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