Physician Fee Schedule

NASL 2020 Issue Briefs:

NASL 2020 Legislative Priorities and Fact Sheet
 

2021 Cuts to Medicare Part B Programs Reduce Beneficiaries’ Access to Care

 
LTPAC Health IT Essential To Achieving Efficient, Effective Healthcare System

 

Benefits of a New Payment Model for Clinical Laboratory Services Provided to Nursing Home or Homebound Patients
 

Novitas Reimbursement Reduction Poses Huge Risk for Medicare Beneficiaries and Suppliers of Portable X-Ray Services
 

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

Expand Telehealth Services for Medicare Beneficiaries


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


On July 30, 2019, CMS issued the FY 2020 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule, which will take effect on October 1, 2019. The Final Rule includes updates to the payment rates used under the SNF PPS for FY 2020. In addition, CMS is also making minor revisions to the regulation text to reflect the revised assessment schedule under the Patient Driven Payment Model (PDPM). 

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