AANEM News Express

AANEM News Express

CMS Releases Final Rule: 2017 Medicare Physician Fee Schedule

On November 2, 2016, the Centers for Medicare & Medicaid Services (CMS) issued the final rule updating payment policies and payment rates for physicians under the Medicare Physician Fee Schedule (MPFS) for 2017.  CMS estimates a 0% impact in payment on neurology and physical medicine and rehabilitation physicians.

A few key areas addressed in the 2017 MPFS final rule include:
  • Expanding eligible telehealth services.  CMS finalized payment through two new codes that describe initial and subsequent encounters for critical care consultations furnished via telehealth.
  • Gathering data on activities and resources involved in 10- and 90- day global surgical procedures.  CMS finalized a reduced data collection strategy that will gather data on the activities and resources involved in furnishing the 10- and 90- day global surgical services.  Required reporting will be limited to a sample of practitioners for selected services and will be required only for services related to codes reported annually by more than 100 practitioners that are reported more than 10,000 times or have allowed charges in excess of $10 million annually.
  • Expansion of the Diabetes Prevention Program Model.  CMS finalized its proposal to expand the duration and scope of the Medicare Diabetes Prevention Program (MDPP).  Through its expansion, more Medicare beneficiaries would be able to access the benefits of the MDPP, which could lead to prevention of diabetes, improved health, and reduced costs.
  • Conversion Factor.  CMS finalized the conversion factor for calendar year (CY) 2017 at $35.8887
  • Medicare Shared Savings Program (MSSP).  CMS updated ACO quality reporting which included changes to the quality measure set, updates to align with the Physician Quality Reporting System (PQRS) and the Quality Payment Program (QPP).

A more detailed analysis of changes to the RVUs related to EDX or neuromuscular medicine is forthcoming.  Please contact the policy department at policy@aanem.org with any questions or concerns.

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