MGMA Legislative Alert

POSTED 12/9/2021 6:51 PM

CMS issues final rules for 2020

Physician Fee Schedule: Finalized Policy, Payment, and Quality Provisions for CY 2020

from CMS MLN Connects:

On November 1, CMS issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) effective on or after January 1, 2020.

Payment Provisions:

  • Ratesetting and conversion factor
  • Medicare telehealth services
  • Evaluation and management services
  • Physician supervision requirements for physician assistants
  • Review and verification of medical record documentation
  • Care management services
  • Medicare coverage for opioid use disorder treatment services furnished by opioid treatment programs
  • Bundled payments under the PFS for opioid use disorders
  • Therapy services

Other Provisions:

  • Quality Payment Program
  • Ambulance services
  • Ground ambulance data collection system
  • Open Payments Program
  • Medicare Shared Savings Program

For More Information:

See the full text of this excerpted CMS Fact Sheet (Issued November 1).