Physician Fee Schedule

NASL 2022 Issue Briefs:

 

Expand Medicare Beneficiaries’ Access to Digital Health, Including Telehealth & Remote Patient Monitoring  (Feb 2022)

 

Support the Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act of 2021 (H.R. 5536) (Feb 2022)

 

Hospital Observation Status Harms Beneficiaries' Access to Medicare's Skilled Nursing Benefit

 


Medicare Part B pays for physician services based on the Medicare Physician Fee Schedule, which lists more than 7,400 unique covered services and their payment rates.  Physicians' services include office visits, surgical procedures, anaethesia services, and a range of other diagnostic and therapeutic services.  The rule touches all NASL constituent groups: 

  • Therapy
  • Durable Medical Equipment, Prosthetics, Orthotics and Supplies
  • Physician Quality Reporting System
  • Potentially Misvalued Services Under the Physician Fee Schedule
  • Expansion of MPPR Policy to Therapy Services
  • Geographic Practice Cost Indices
  • Rebasing and Revising of the Medicare Economic Index
  • Physician and Anesthesia Fee Schedule Conversion Factors
  • Sustainable Growth Rate
  • Medicare Telehealth Services
  • Removal of Portable X-Ray Set-Up as a Direct PE Input for HCPCS Code Q0092

 

CY 2022 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-payment Medical Review Requirements Proposed Rule was published in the Federal Register on July 23, 2021.  The deadline for comments is September 13, 2021.  View NASL's items of interest to members email here.  
 

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