Millennial Pocket
  • Home
  • About
  • Banking
  • Financial Banking
  • Forex
  • Contact Us
No Result
View All Result
  • Home
  • About
  • Banking
  • Financial Banking
  • Forex
  • Contact Us
No Result
View All Result
Millennial Pocket
No Result
View All Result
Home Banking

Conversations about the 2023 Physician Fee Schedule (PFS) Proposed Rule

eoe86 by eoe86
July 28, 2022
in Banking
0
Conversations about the 2023 Physician Fee Schedule (PFS) Proposed Rule
190
SHARES
1.5k
VIEWS
Share on FacebookShare on Twitter

Related articles

Minneapolis Bankruptcy Attorney Explains How to Include All Debts When Filing

June 20, 2025

#WinWednesday: Minneapolis Bankruptcy Client Discharges $60,000 in Debt and Keeps Everything

June 19, 2025

Physician Payment and Quality Reporting

Every July we wait on pins and needles to see what Centers for Medicare and Medicaid Services (CMS) has in store for us in 2023 and now we know! Well… possibly. The CMS released a proposed rule regarding physician payment and quality reporting changes for fiscal year (FY) 2023 and it is ready for consumption, that is of course, assuming we can digest it.

This blog is somewhat of a one-sided conversation so instead of asking whether you want the good news or the bad news first, we’re breaking it down into clearly labeled sections and you can choose from there.

The Good

Changes to the split/shared E/M requirements, which would’ve shifted all coding to time-based only, has been delayed until 2024. This means, at least for now, we can continue to use history, exam, and medical decision making (MDM) in addition to time to determine coding levels for these services.

CMS is looking for more information on how they can improve reimbursements for global surgical codes. That means they want to hear from you, so now is the time to submit formal comments back to CMS with your thoughts. This is basically a national brainstorm so make sure to get your feedback in before the comment period ends.

The Electronic Prescribing for Controlled Substances (EPCS) mandate is not going to be penalized for another year. Meaning you can expect to see those non-compliance letters starting in 2024.

New prolonged G-Codes are being introduced which will add chronic pain management codes and new prolonged services codes to the primary care services roster. 

The Bad

Many of us were hoping to see increased permanence in the telehealth expansion we’ve seen during the public health emergency (PHE). Unfortunately, it appears that, aside from mental health, most changes will expire 151 days following the expiration or termination of the PHE. Expiring flexibilities include:

  • In-person requirements for telemental health services
  • Extending originating site restrictions
  • Temporary payments for RHCs and FQHCs
  • Payment for certain audio-only telehealth services

The Ugly

The conversion factor (CF), which is the base amount all payments are derived against, is set to decrease in 2023 by over 4%. Unless congress steps in to inject funds into the Medicare program, we are looking at a CF of $33.0775. This is down from the rate of $34.6062 we are enjoying right now. In fact, according to data from MGMA1 this is yet another year in a downward trend that has been occurring annually since 2019.

CMS is proposing to expand their ability to revoke or deny provider enrollments based on Office of the Inspector General’s (OIG) List of Excluded Individuals or Entities (LEIE). This will now provide CMS with the ability to revoke a provider’s license if their supplier is on the LEIE where previously this primarily applied to providers and management.

We can’t cover everything this 2,200 page ruling has outlined so as always we recommend that you dig in. If you don’t have the time or just flat out don’t want to, there are tons of summaries from most every specialty association and medical society out there. There are a few links below, to save you some time hunting. In the meantime, happy reading and make sure to get those comments in to CMS before the deadline on August 15, 2022.

Resources:

The Source Document from the Federal Register https://www.federalregister.gov/documents/2022/06/23/2022-13376/medicare-program-calendar-year-cy-2023-home-health-prospective-payment-system-rate-update-home

CMS NewsRoom Fact Sheet https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2023-medicare-physician-fee-schedule-proposed-rule

For a fact sheet on the CY 2023 Quality Payment Program proposed changes, please visit (clicking link downloads zip file): https://qpp-cm-prod-content.s3.amazonaws.com/uploads/1972/2023%20Quality%20Payment%20Program%20Proposed%20Rule%20Resources.zip

For a fact sheet on the proposed Medicare Shared Savings Program changes, please visit: https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2023-medicare-physician-fee-schedule-proposed-rule-medicare-shared-savings-program

DOWNLOAD ARTICLE AS PDF

 

Taya Moheister, EMBA, CMPE, CMOM
LinkedIn: https://www.linkedin.com/in/tayamoheiser/
Twitter: https://twitter.com/tayamoheiser

The post Conversations about the 2023 Physician Fee Schedule (PFS) Proposed Rule appeared first on Core Bank.

Share76Tweet48

Related Posts

Minneapolis Bankruptcy Attorney Explains How to Include All Debts When Filing

by eoe86
June 20, 2025
0

Worried about missing a debt in bankruptcy? Here’s how Walker & Walker helps you cover everything, even the ones you...

#WinWednesday: Minneapolis Bankruptcy Client Discharges $60,000 in Debt and Keeps Everything

by eoe86
June 19, 2025
0

At Walker & Walker, we help people across Minnesota get the debt relief they deserve—without losing the things they’ve worked...

#WinWednesday: $150,000 in Debt Gone — Including $100K in Student Loans and $50K in Medical & Personal Debt

by eoe86
June 5, 2025
0

Another week, another huge win for someone ready to leave overwhelming debt behind. This week’s #WinWednesday spotlights a client who...

#WinWednesday: Judge Affirms 14-Day Stay in Bankruptcy Relief Motions—Thanks to Attorney Cat Davidson

by eoe86
June 5, 2025
0

Not every win in bankruptcy court is about wiping out debt—sometimes it’s about making sure existing protections are properly enforced....

Bankruptcy vs. Debt Settlement: What’s the Better Choice for Your Financial Future?

by eoe86
June 5, 2025
0

If you’re stuck under a mountain of debt and trying to figure out the best way out, you’re not alone....

Load More
  • Trending
  • Comments
  • Latest
Inclement Weather Update

Inclement Weather Update

September 26, 2022
What is Deposit Insurance and What Does it Cover?

What is Deposit Insurance and What Does it Cover?

August 15, 2022
Core Code Ambassador Spotlight: Courtney Miller

Core Code Ambassador Spotlight: Courtney Miller

January 31, 2023
LA Times Op-Ed: How a California Public Bank could fix the freeways, send kids to college and ambush Wall Street

LA Times Op-Ed: How a California Public Bank could fix the freeways, send kids to college and ambush Wall Street

May 17, 2022
When should you get a travel credit card?

When should you get a travel credit card?

0
Core Bank Breaks Ground on New Sarpy County Location

Core Bank Breaks Ground on New Sarpy County Location

0
How to be a Smart Holiday Shopper

How to be a Smart Holiday Shopper

0
Make Saving Part of Your Resolution

Make Saving Part of Your Resolution

0
When should you get a travel credit card?

When should you get a travel credit card?

July 9, 2025

Stay Cool and Save: Easy Ways to Cut Your AC Costs

July 8, 2025

Team Member Spotlight: Vikram Dasgupta

June 23, 2025

Minneapolis Bankruptcy Attorney Explains How to Include All Debts When Filing

June 20, 2025

About

Investors aim to make money and build wealth over time through the practise of investing. There are a variety of ways to generate future income, and an investment can be defined as any of these methods.

Recent Post

When should you get a travel credit card?

When should you get a travel credit card?

July 9, 2025

Stay Cool and Save: Easy Ways to Cut Your AC Costs

July 8, 2025

Categories

  • Banking
  • Financial Banking
  • Forex
  • Home
  • About
  • Forex
  • Banking
  • Financial Banking
  • Contact Us
  • Privacy Policy
  • Terms And Conditions

Copyright@2022 All rights reserved by Millennial Pocket

No Result
View All Result
  • Home
  • About
  • Banking
  • Financial Banking
  • Forex
  • Contact Us

Copyright@2022 All rights reserved by Millennial Pocket

Please wait...

Subscribe to our newsletter

Want to be notified when our article is published? Enter your email address and name below to be the first to know.
SIGN UP FOR NEWSLETTER NOW