Part B News | Part B News

CMS mulls 2 permanent, 11 provisional telehealth updates

07/29/2024

Stakeholders asked CMS to change the status of 68 provisional telehealth codes to permanent in the coming year. The requests were for codes that CMS added to the list during the COVID-19 public health emergency (PHE) on a provisional basis. CMS declined to grant permanent status but intends to leave them on the list on a provisional basis.

CMS eases G2211 and -25, floats Part B drug rebate changes, more

07/29/2024

by: Part B News staff

In addition to the big changes covered in the previous issue of Part B News, take a look at these other billing and coding updates contained in the proposed 2025 Medicare physician fee schedule, which CMS released July 10.

Impact of the projected conversion factor cut will vary across services

07/29/2024

by: Julia Kyles, CPC

Office or other outpatient E/M visits will be among the codes that fare the best under the projected conversion factor cut that CMS released with the proposed 2025 Medicare physician fee schedule. High-volume eye care codes will see the biggest drops next year.

CMS again slashes Part B rates, delivers a slew of new services and more

07/22/2024

by: Richard Scott

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.

Take a peek at new codes and new (proposed) services

07/22/2024

by: Laura Evans, CPC

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.

CMS considers 6 telehealth waivers, can’t make big changes the public seeks

07/22/2024

by: Julia Kyles, CPC

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.

New behavioral codes pay for crisis care, digital device therapy

07/22/2024

by: Roy Edroso

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.

‘Enhanced’ care management codes floated for primary, cardiac care

07/22/2024

by: Roy Edroso

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.

Before you comment, check the details of the proposed APCM codes

07/22/2024

by: Julia Kyles, CPC

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.

With MVP, eCQM programs limping, QPP takes it slow in 2025

07/22/2024

by: Roy Edroso

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.

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