CMS releases calendar year 2025 physician fee schedule proposed rule

On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released its annual proposed rule updating the Medicare Physician Fee Schedule (PFS) for calendar year (CY) 2025. This article...

MedPAC Discusses Physician Fee Schedule, Alternative Payment Models, Part D, and MA

MedPAC met to discuss the Physician Fee Schedule, advanced alternative payment models, prescription drug plans, and Medicare Advantage provider networks.

Physician Fee Schedule | CMS

On March 9, 2024, President Biden signed the Consolidated Appropriations Act, 2024, which included a 2.93 percent update to the CY 2024 Physician Fee Schedule (PFS) Conversion Factor (CF) for dates...

Search the Physician Fee Schedule | CMS

PFS Look-up Tool Overview · Search the Physician Fee Schedule · Documentation and Files · Help

Calendar Year (CY) 2025 Medicare Physician Fee Schedule Final Rule | CMS

Share ; On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a rule finalizing changes for Medicare payments under the PFS and other Medicare Part B policies, effective on or after January 1, 2025. The CY 2025 PFS final rule is one of several final rules that reflect a broader Administration-wide strategy to create a more equitable health care system that results in better accessibility, quality, affordability, empowerment, and innovation for all Medicare beneficiaries....

Health Equity Services in the 2024 Physician Fee Schedule Final Rule

Health Equity Services in the 2024 Physician Fee Schedule Final Rule BOOKLET Page 1 of 14 MLN9201074 January 2024 MLN BookletHealth Equity Services in the 2024 Physician Fee Schedule Final...

PFS Look-Up Tool Overview | CMS

What's the PFS Look-Up Tool? · How Does the Tool Work? · Why Should I Use This Tool? · How Do We Adjust the PFS Pricing Amounts?

Understanding the 2025 Proposed Physician Fee Schedule: Essential Updates for Primary Care

By Casey Korba, Director of Policy ; Congress will likely address physician payment cuts · As required by law, CMS has calculated the conversion factor, and, every year since 2020, Congress has stepped in to intervene. CMS has proposed a 2.8% reduction in the Medicare conversion factor from $33.29 to $32.36 in 2025. This takes the national average for a Level 4 E&M (99214) from $128.17 to $124.59. Primary care experienced a large increase in Medicare payments in 2021. However, inflation wiped out much of that increase and will continue to eat ...

Calendar Year (CY) 2025 Medicare Physician Fee Schedule Proposed Rule | CMS

Share ; On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2025. The calendar year (CY) 2025 PFS proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a more equitable health care system that results in b...

The Medicare Physician Fee Schedule and Unethical Behavior | Health Care Reform

This Viewpoint discusses the Medicare Physician Fee Schedule and its flaws, including how they might be remedied by severing CMS dependence on Relative Value Up