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2017 Medicare Physician Fee Schedule Final Rule Issued

The Centers for Medicare & Medicaid Services (CMS) has issued its final rule for the Medicare physician fee schedule (MPFS) for calendar year 2017. After application of the 0.5% payment increase, as required by the Medicare Access and CHIP Reauthorization Act of 2015, and mandated budget neutrality cuts, physician payment rates will increase 0.24% for 2017. The final CF for CY 2017 is $35.8887,    up from the current CF of $35.8043.

CMS also finalized its proposals to pay for new telehealth services, including end-stage renal disease-related services for dialysis, advance care planning services and critical care consultations. In addition, it will expand the Center for Medicare & Medicaid Innovation Diabetes Prevention Program model. CMS also finalized a number of new codes to more accurately pay for primary care, care management and other cognitive specialties.

The rule finalizes changes to the quality measurement requirements of the Medicare Shared Savings Program (MSSP), which includes revisions to the measure set and quality data validation process. This change will allow eligible individual professionals participating in MSSP to report quality data separately for the purposes of the Physician Quality Reporting System (PQRS), and to have that data used in PQRS in the event the MSSP Accountable Care Organization fails to report quality data.

The final rule can be found at https://federalregister.gov/d/2016-26668

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