CMS’ Proposed 2025 PFS Rule Would Cut Overall Payments by 2.8%
CMS’ Proposed 2025 PFS Rule Would Cut Overall Payments by 2.8% In its proposed rule for the calendar year (CY) 2025 physician fee schedule, the Centers for Medicare & Medicaid Services recommends reducing the conversion factor by 2.8% to $32.36 in CY 2025, compared with $33.29 in CY 2024. This change reflects the expired 2.93% statutory payment increase for CY 2024; a 0.00% conversion factor update under the Medicare Access and Children’s Health Insurance Program Reauthorization Act; and a .05% budget-neutrality adjustment. Proposed New Behavioral Healthcare Services Released July 10,…
CMS Updates IOP and PHP Payment Rates for 2025
CMS Updates IOP and PHP Payment Rates for 2025 The Centers for Medicare & Medicaid Services (CMS) today issued its calendar year (CY) 2025 Medicare hospital outpatient prospective payment system (OPPS) proposed rule, which proposes a net increase of 2.3 percentage points, relative to current year rates. The net update reflects a market basket increase of 3.0 percentage points and the statutorily required 0.4 percentage point cut, along with several budget neutrality adjustments and a minor increase in outlier payments. The proposed update would apply to services paid under the…
