As 2017 draws to a close, the Medicare program is notifying physicians how they will be evaluated and paid for treating patients in 2018. In case you’re not an avid reader of the Federal Register (and most people aren’t), let’s go over some details.
First, the Centers for Medicare & Medicaid Services (CMS) released its final rule on the 2018 Quality Payment Program. Highlights:
In addition, CMS released the final rule on the 2018 Medicare physician fee schedule. As usual, the final rule includes the relative values physicians will be paid under the fee schedule next year for individual services as well as updates the conversion factor, or the dollar multiplier that translates those relative values into actual payment allowances. The final rule raises the 2018 conversion factor by a dime to $35.99.
Other aspects of the fee schedule final rule include:
Lastly, the final rule on the physician fee schedule implements the expanded model of the Medicare Diabetes Prevention Program (MDPP). This includes additional policies necessary for suppliers to begin furnishing MDPP services nationally in 2018, such as the MDPP payment structure, supplier enrollment requirements, and supplier compliance standards meant to enhance program integrity.
More information on the physician fee schedule final rule is available on the CMS website.
– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians
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