Part B News | Editors' Blog

Breaking: Proposed 2024 PFS shows 3.4% pay cut, return of G2211, QPP additions and more

by: DecisionHealth Staff Jul 13, 2023

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.

Breaking: CMS finalizes 4.5% rate cut in ’23, confirms E/M trajectory in Medicare PFS

by: DecisionHealth Staff Nov 1, 2022

Start your look-ahead to CY 2023: Payment cuts are coming, significant changes to E/M services are finalized and key reporting revisions are hitting telehealth and audio-only services, according to the final 2023 Medicare physician fee schedule released today.

Proposed payment cuts that drew vocal criticism from physician advocacy groups will move forward as planned, as CMS announced a 4.5% reduction to the CY 2023 Medicare Part B conversion factor (CF), effective Jan. 1.

CMS clarifies modifier FT rules for critical care services

by: Julia Kyles, CPC Dec 15, 2021

First impressions can be deceiving. The descriptor for modifier FT is a prime example.

Provider breaks in Congress: Sequestration delayed, cut to 1%; PAYGO delay saves another 4%

by: Roy Edroso Dec 10, 2021

Good news for providers still reeling from the nearly 4% conversion factor cut in the recent Physician Fee Schedule\: a bill passed in the Senate on Dec. 9 is expected to avert 5% in further cuts.

Mystery solved: CMS releases new split shared and critical care modifiers

by: Julia Kyles, CPC Nov 9, 2021

If you’ve been following the split (or shared) and critical care saga you know that Medicare announced in the final 2022 Medicare physician fee schedule that it would require new modifiers with the services.

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