Fact Sheet | Physician Payment and Reimbursement

CY15 Medicare Physician Fee Schedule Final Rule Fact Sheet

Fact Sheet | Physician Payment and Reimbursement

CY15 Medicare Physician Fee Schedule Final Rule Fact Sheet

This document highlights important payment updates to physicians under the CY15 Medicare Physician Fee Schedule (PFS) final rule. 

The Centers for Medicare & Medicaid Services (CMS) released a final rule with comment period in November that revises payment polices under the Medicare Physician Fee Schedule (PFS) and makes other policy changes related to Medicare Part B payment. Unless otherwise noted, these proposed changes are applicable to services furnished in Calendar Year 2015 (CY15). The rule also includes finalized proposals associated with PFS payments, including the Physician Quality Reporting System (PQRS), the Medicare Shared Savings Program (MSSP), updates to the Physician Compare website, and the Electronic Health Record (EHR) Incentive Program. The rule also discusses updates to the physician value-based payment modifier (value modifier), created by the Affordable Care Act   (ACA), which will affect payments to certain physician groups based on the quality and cost of care they furnish to beneficiaries enrolled in the Medicare fee-for-service program, and the Physician Feedback Program. Any changes in payment rate discussed in this summary do not incorporate the impact of sequestration resulting from the Budget Control Act of 2011.

Download the fact sheet 

Advertisements

Related Articles | Physician Payment and Reimbursement

News | Compliance

Battle emerges over value-based safe harbors included in anti-fraud overhaul

Although proposed Stark Law exceptions have drawn praise in comments from many healthcare stakeholders, others see reasons for caution.

Trend | Medicare Payment and Reimbursement

'Medicare for All': What would it really mean for healthcare stakeholders?

“Medicare for All” would have varying impacts on hospitals, physicians and health plans but would be expected to cause financial hardship in the majority of cases.

News | Innovation and Disruption

Dec. 16-20: CMS comment deadlines are among upcoming healthcare finance developments

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 16.

Fact Sheet | Payment, Reimbursement, and Managed Care

CY 2020 Physician Fee Schedule Final Rule Summary Part I

This document summarizes the CY 2020 Medicare Physician Fee Schedule final rule, published by CMS in the November 15, 2019, Federal Register.