Physician Fee Schedule

NASL 2019 Issue Briefs:

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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