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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.
 
The agency also announced plans to launch a slate of advanced care management services, set a deadline for big changes in the Merit-based Incentive Payment System, teased 2025-effective codes, floated a revamp of surgical modifier rules, and signaled the end of many entrenched telehealth flexibilities, among other policy changes and revisions, according to the proposed 2025 Medicare physician fee schedule, and its 2,248 pages of Medicare policy, released today.
 
 
The contents of Medicare’s proposed physician fee schedule are typically a mystery until CMS publishes the rule on the Federal Register. But this year is different.
 
 
One question has come up about social determinants of health (SDOH) assessments with the Medicare annual wellness visit: If the provider taking the assessment finds the patient has social issues that should be addressed – e.g. housing status, transportation to health care appointments – is the provider obliged to address them, or simply document them? An expert responds.
 
 
The conversion factor cuts that CMS floated earlier in the year are now confirmed – and heightened. Part B providers will have to prepare for a net 3.4% payment decrease across services in 2024, according to the final 2024 Medicare physician fee schedule released today.
 
Also, you will find new services moving to active status, such as caregiver training and principal illness navigation, a one-year telehealth parity patch, key value-based care updates and the launch of the much anticipated add-on complexity code G2211.
 
 
The initial proposals for CY 2024 are out, and medical groups should brace for rate cuts: CMS is floating a net 3.4% reduction to the Medicare Part B conversion factor.
 
The agency also provided a sneak peek of an array of new codes, including the return of add-on office visit code G2211, major quality-reporting updates and separate coding opportunities for “community health integration services,” among other changes, according to the proposed 2024 Medicare physician fee schedule released today.
 

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