Articles and Blogs

On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) issued its CY 2022 Medicare Physician Fee Schedule (“MPFS”) Final Rule. Simultaneously, CMS released its CY 2022 Outpatient Prospective Payment System (“OPPS”) Final Rule with comment period. Below is a high-level summary of significant changes established by the MPFS Final Rule. For... READ MORE

In early December, the Centers for Medicare & Medicaid Services (“CMS”) issued its Calendar Year (“CY”) 2021 Medicare Physician Fee Schedule (“MPFS”) final rule (“Final Rule”). Among many other changes, CMS finalized three key payment policy updates impacting non-physician practitioners (“NPPs”), including: (1) clarification that pharmacists may provide services on an incident-to basis; (2)... READ MORE

On December 1, 2020, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule (“Final Rule”) that imposes several modifications to the Medicare Physician Fee Schedule (“MPFS”) for Calendar Year (“CY”) 2021. Notably, the Final Rule will materially increase the Work Relative Value Units (“wRVUs”) that are allocated to several common evaluation... READ MORE

CMS was dealt a blow from the D.C. District Court on September 17, 2019 when the court determined the agency’s “site neutral” payment policy in the CY 2019 Outpatient Prospective Payment System (“OPPS”) Final Rule exceeded its statutory authority to adjust payments under the OPPS. Refusing to accept the government’s argument that the plaintiffs... READ MORE

CMS Releases 2019 Proposed Medicare’s Physician Fee Schedule  On July 12, the Centers for Medicare & Medicaid Services (“CMS”) announced numerous new policy proposals in a proposed rule to update payment policies, payment rates and quality provisions for services furnished under the Medicare Physician Fee Schedule (“PFS”) for 2019. The annual update reduces payments... READ MORE