Medicare Physician Fee Schedule (MPFS)

Medicare Physician Fee Schedule (MPFS)

Academy Submits Comments to CMS Regarding CY21 Medicare PFS

The Academy submitted comments to the Administrator of the Centers for Medicare and Medicaid Services (CMS) on October 4, 2020, in response to the proposed rule for the CY21 Medicare Physician Fee Schedule (PFS).  

The comments highlighted several provisions that would adversely impact practicing audiologists and the Medicare beneficiaries they treat.  

Congress Must Act to Halt Medicare Payment Cuts and Avoid Further Damage to the U.S. Health-Care System


August 17, 2020: A message from Paul Pessis, AuD


Practice Policy Advisory Committee Member


The Academy and Other Provider Groups Call Upon Congress to Block Expected 2021 Medicare Cuts

The 2021 Proposed Medicare Physician Fee Schedule was released earlier this week (August 3) and the Academy has prepared a summary for members to review.  

In this proposed rule, CMS reiterated its plan to move forward with cuts to a wide variety of providers—both physician and non-physician—to counterbalance increases to primary care providers.  

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2021 Medicare Physician Fee Schedule (PFS) Summary

The Centers for Medicare and Medicaid Services (CMS) issued for public inspection on August 4 the proposed rule on the 2021 PFS.

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CODING AND REIMBURSEMENT | Medicare QPP Rules for 2020

Under the final Quality Payment Program (QPP) rule for 2020, the Centers for Medicare and Medicaid Services (CMS) finalized a new Audiology Specialty Measure Set for audiology participation in the Quality category of the Merit-Based Incentive Payment System (MIPS) (2020 performance period/2022 payment year).

Topic(s): Coding, Reimbursement, Quality Payment Program (QPP), Medicare, Merit-Based Incentive Payment System (MIPS), Physician Quality Reporting System (PQRS), Medicare Physician Fee Schedule (MPFS), Centers for Medicare and Medicaid Services (CMS)

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Publication Issue: Audiology Today January/February 2020

CMS Final 2020 Payment Rules for Medicare MPFS and OPPS

Late Friday, November 1, the Centers for Medicare and Medicaid Services (CMS) posted the final 2020 payment rules for the Medicare Physician Fee Schedule (MPFS) and the Hospital Outpatient Prospective Payment System (OPPS). These rules contain proposed policy and payment changes under the Medicare program.   

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Publication Issue: Audiology Today January/February 2018

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CODING AND REIMBURSEMENT | Speak Up! Help Establish the Value of Your Professional Services

Each November, the Centers for Medicare and Medicaid Services (CMS) publishes the Medicare Physician Fee Schedule (MPFS) final rule that lists the payment rates for all Current Procedural Terminology (CPT)© codes across specialties for the upcoming year. The MPFS not only impacts reimbursement from Medicare, but it also can be used as the model for establishing payment across many private payers. 

Topic(s): Coding, Reimbursement, Centers for Medicare and Medicaid Services (CMS), Medicare Physician Fee Schedule (MPFS), AMA RUC survey