Changes to the Medicare physician 2015 fee schedule

The Centers for Medicare and Medicaid Services (CMS) issued proposed changes to the Medicare physician fee schedule, which include payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2015.


“The proposed rule also proposes changes to several of the quality reporting initiatives that are associated with PFS payments – the Physician Quality Reporting System (PQRS), Medicare Shared Savings Program, and Medicare Electronic Health Record (EHR) Incentive Program, as well as changes to the Physician Compare tool on the website,” the agency noted in a fact sheet published on its site.


Additional highlights from the list of proposed changes include:

• The transformation of all 10- and 90-day global codes to 0-day global codes beginning in 2017.
• Annual wellness visits, psychoanalysis, psychotherapy and prolonged evaluation and management services will be added to the existing list of services that can be furnished to Medicare beneficiaries under the telehealth benefit.
• The collection of data on services furnished in off-campus provider-based departments beginning in 2015.
• The addition of 80 codes to the existing list of potentially misvalued codes.