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Get ready to dig into more than 400 code changes as part of the 2025 CPT code set. That includes 270 new codes, including dozens of surgical codes, as well as 112 deletions and 38 revisions.
 
You’ll also find numerous guideline changes within the 2025 CPT Manual, with expanded guidance for the new CPT-based virtual check-in service and online digital E/M services. The AMA released the revised CPT code set in September, while the full guidelines are now accessible as the books are available for purchase ahead of the Jan. 1 implementation date.
 
 
Recent Gibbins Advisors analysis finds that “a relatively high percentage (30%) of very large health care bankruptcies (liabilities >$500M) were [private equity]-backed.” This suggests that the large scale of PE acquisitions, and their tendency to “roll up” smaller entities into larger ones, makes their managers likely to opt for bankruptcy as a tool when finances get difficult.
 
 
Medical groups are bracing for a 3% cut to the Part B conversion factor in 2025, as CMS announced in the proposed 2025 Medicare physician fee schedule. The agency also made important announcements about telehealth services, previewed new codes eligible for billing in the new year, and added a slew of behavioral health services.
 
Don't miss out on the latest billing, coding, compliance and revenue cycle updates coming next year. DecisionHealth, the publisher of Part B News, is running a series of live virtual events intended to boost your proficiency and revenue cycle management and put you on track for a successful 2025 billing year.
 
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.
 

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