CMS Releases Medicare Physician Fee Schedule Proposed Rule

News | Published: Thursday, July 7, 2022 6:30 pm


ACC News Story from ACC.org

The Centers for Medicare and Medicaid Services (CMS) released the 2023 Medicare Physician Fee Schedule (PFS) proposed rule on July 7.

The PFS conversion factor has been updated from $34.6062 to $33.0775. The overall reimbursement for cardiovascular services is projected to decrease 1% in 2023 compared to 2022, mostly driven by changes in practice expense payments. This reflects the entire scope of cardiology. Individuals and groups will see different impacts depending on patient population and services offered.

The rule also addresses updated code values for new/revised services, cyclical updates to Quality Payment Program, implementation of the MIPS Value Pathways (MVPs) for CY 2023, and other payment policy proposals. CMS proposes technical revisions to split/shared billing changes and postpones implementation of those rules until January 1, 2024. There are no changes proposed for implementation of the AUC Program to proceed as slated for 2023.

MedAxiom and ACC staff will provide a more detailed initial breakdown of the proposed rule in the coming days. The proposed 2023 Hospital Outpatient Prospective Payment System (OPPS) rule is expected to follow the PFS shortly. Staff will undertake a similar analysis once the rule is released. 

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