Payment Reimbursement and Managed Care

CY 2024 Physician Fee Schedule Final Rule Summary – Part I

December 1, 2023 2:22 pm

On November 2, 2023, CMS placed on public display a final rule relating to the Medicare physician fee schedule (PFS) for CY 2024 and other revisions to Medicare Part B policies. The final rule is scheduled to be published in the November 16, 2023, issue of the Federal Register. Policies in the final rule will go into effect on January 1, 2024, unless otherwise specified. HFMA is providing a summary in three parts. Part I covers sections I through III.S (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, implementation of the evaluation and management office/outpatient complexity add-on code; telehealth services; care training services, services addressing health-related social needs; dental services; and Inflation Reduction Act provisions relating to Part B drugs and biologicals.

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