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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,…
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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…
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NABH Comments on the Critical Role of Youth Residential Treatment Facilities
NABH Comments on the Critical Role of Youth Residential Treatment Facilities