11/03/2021

RELEASED: Calendar Year 2022 Medicare Physician Fee Schedule Final Rule

On November 2, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2022.

Updates include:

• A decrease in the conversion factor by $1.30 to $33.59
• Clarifying E & M policies related to the 2021 coding changes
• Refining policies for split/shared E & M visits
• Changes to billing teaching physician services
• Is including some of the COVID-10 PHE telehealth services through 12/31/2023
• Will begin reimbursing Physician Assistant services directly to PA
• Announcing a payment of $30 per dose for administration of influenza, pneumococcal and hepatitis B vaccines
• Maintain payment of $40 per dose for COVID-10 vaccine
• Requiring certain manufacturers to report drug pricing information for Part B
• No changes to generic multiple source drug codes
• Updates to the open payment financial transparency program
• And more....

To review the announcement from CMS in its entirety, CLICK HERE

More Information:

CY 2022 Physician Fee Schedule Final Rule
CY 2022 Physician Fee Schedule Final Rule fact sheet
CY 2022 Quality Payment Program final changes fact sheet
Medicare Diabetes Prevention Program final changes fact sheet