On July 13, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating payment policies and payment rates for physicians under the Medicare Physician Fee Schedule (MPFS) for 2018.  CMS estimates a 0% impact in payment for neurology and +1% for physical medicine and rehabilitation physicians; although, ultimately, the result could differ when the final rule is published in the fall.

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Medicare Access and CHIP Reauthorization Act (MACRA) is a bipartisan legislation that was passed into law in April 2015.  This legislation represents a complete overhaul of the structure of physician payments by Medicare. Under MACRA, a new framework of payment called the Quality Payment Program (QPP) has been proposed.  The QPP includes two paths for physicians to choose from:  the Merit-Based Incentive Payment Systme (MIPS) or the Advanced Alternative Payment Models (APMs).  For more information on these two paths, please click on the links below.


Muscle & Nerve Article:
The Value Transformation of Health Care: Impact on Neuromuscular and Electrodiagnostic Medicine

MACRA Overview (Final Rule)

MIPS Overview (Final Rule)

External Resources

Centers for Medicare and Medicaid Services (CMS):

AMA Resources:

Final Rule:


Nandedkar Production EMG Videos


Laboratory Accreditation


2015 AANEM Coding Guide now available