Skip Navigation LinksHome | Editors' Blog
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.
Check the remittance advice for the services your practice performed on or after March 9. Your payments should reflect the new conversion factor that is based on the recent 2.93% increase to the physician conversion factor and the extension of the work geographic index.
Fallout from the Change Healthcare hack continues. 


User Name:
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Blog Archive
Back to top