Physician Fee Schedule

Advion 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 Advion 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 2023 Medicare Physician Fee Schedule Final Rule:

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