CY 2023 Physician Fee Schedule Proposed Rule Summary: Part I

On July 7, 2022, CMS placed on public display a proposed rule relating to the Medicare physician fee schedule for CY 2023 and other revisions to Medicare Part B policies. The proposed rule is scheduled to be published in the July 29, 2022, issue of the Federal Register. If finalized, policies in the proposed rule generally would take effect on January 1, 2023. The 60-day comment period ends at close of business on September 6, 2022.  HFMA is providing a summary of the proposed rule in three parts. Part I covers sections I through III.N (except for Section G: Medicare Shared Savings Program Requirements) and the Regulatory Impact Analysis. Part II covers the Medicare Shared Savings Program Requirements. Part III covers the updates to the Quality Payment Program.

Part I includes payment policies under the PFS including changes in coding and documentation for evaluation and management services; telehealth services; codes and documentation for chronic pain management services; dental and oral health services; and colorectal cancer screening. The proposed rule contains several comment solicitation,  including strategies for improving global surgery payment; Medicare potentially underutilized services; and coverage and payment for mental health and behavioral health services.

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