CMS Releases 2016 Final Rule on Medicare Physician Fee Schedule

Published On: September 28, 2016Categories: Center Resources, Coding & Reimbursement, Policy Analysis

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On October 30, 2015, the Centers for Medicare and Medicaid Services (CMS) released the Final Medicare Physician Fee Schedule (MPFS) for 2016. The final rule updates payment policies and payment rates for services furnished under the MPFS and includes changes to the quality reporting initiatives associated with the MPFS – the Physician Quality Reporting System (PQRS), the physician Value-Based Payment Modifier (VBM), and the Physician Compare Website.

The new rule in its entirety and the addenda, including Addendum B, which lists RVUs for each CPT code, can be found here. All of the provisions of the rule are effective January 1, 2016, except for certain definitions related to Physician Self-Referral.

A brief summary of the MPFS rule and charts showing the impact on neurology, E&M, and neurosurgery services provided by epilepsy centers can be found here.

Contact NAEC at info@naec-epilepsy.org with any questions or for additional information.