Payment Reimbursement and Managed Care

CY 2023 Physician Fee Schedule Final Rule Summary Part I

December 2, 2022 6:30 pm

On November 2, 2022, CMS placed on public display a final rule relating to the Medicare physician fee schedule (PFS) for CY 2023 and other revisions to Medicare Part B policies. The final rule is scheduled to be published in the November 18, 2022, issue of the Federal Register. Policies in the final rules will go into effect on January 1, 2023. HFMA is providing a summary 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 will cover the Medicare Shared Savings Program Requirements. Part III will cover 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 (E/M) services; telehealth services; codes and documentation for chronic pain management services; dental and oral health services; and colorectal cancer screening.

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