January 25, 2022

Volume XII, Number 25

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January 25, 2022

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January 24, 2022

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CMS Releases 2012 Physician Fee Schedule Proposed Rule

CMS issued a proposed rule (CMS-1524-P) with updates to the payment policies and rates for the Medicare Physician Fee Schedule (MPFS).

In a press release, CMS highlighted the following changes in the proposed rule:

  • Expansion of the multiple procedure payment reduction to the professional component of advance imaging services; specifically, CT, MRI, and ultrasound.
  • Proposed criteria for a health risk assessment for use in conjunction with annual wellness visits.
  • Addition of smoking cessation services to the list of telehealth services.
  • Proposed quality and cost measures for establishing a new value-based modifier to reward physicians for higher quality and more efficient care.
  • Implementation of the third year of a four-year transition to new practice expense RVUs.
  • Continued efforts to identify potentially misvalued codes.

CMS noted its projected conversion factor of 29.5% for 2012 based on the application of the sustainable growth rate formula. CMS does not address this in the proposed rule because a reduction in the 2012 factor can only be addressed with a change in law.

CMS is accepting comments on the proposed rule until August 30, 2011.

©2022 von Briesen & Roper, s.cNational Law Review, Volume I, Number 190
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About this Author

von Briesen & Roper’s Health Law Section provides comprehensive legal services to the health care industry nationwide as both general counsel and special project counsel. Our clients include integrated delivery systems, academic medical centers, community hospitals, Catholic-sponsored hospitals, rural and critical access hospitals, imaging centers, physicians and multi-specialty clinics, specialty hospitals, ancillary suppliers, home health agencies, nursing homes, hospices, assisted living facilities, mental health and AODA facilities, DME suppliers, laboratories,...

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