CMS Issues 2013 Physician Fee Schedule Final Rule [11-06-12]

Filed under: Industry Updates — Editor @ 1:49 pm

On November 1, 2013, CMS released a final rule with comment period for Medicare’s payments for physician fees for 2013. The final rule would increase Medicare payments to family physicians by approximately 7% and other practitioners providing primary care services between 3% and 5% for services furnished in 2013.

The rule includes a statutorily required 26.5% across-the-board reduction to Medicare payment rates for more than 1 million physicians under the Balanced Budget Act of 1997’s Sustainable Growth Rate (“SGR”) methodology. Congress is expected to intervene and prevent the across-the-board-cut. Medicare payments also could drop another 2% under the “fiscal cliff,” which could also be stalled depending on what Congress does following Tuesday’s elections.

Stakeholders may submit comments on the final rule for 60 days. The final fee schedule rule will be published in the Federal Register on November 16 and go into effect on January 1, 2013.

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