CY 2023 Medicare Physician Fee Schedule changes that compliance officers should observe

7 minute read

One of the many challenges for a compliance professional is staying abreast of constantly changing rules, regulations, and guidelines. Every year, the Centers for Medicare and Medicaid Services (CMS) issues a midyear proposed rule specifying policy changes for Medicare payments under the Physician Fee Schedule. After a notice and comment period, a final rule is published in November, effective in the upcoming calendar year. CMS published its calendar year (CY) 2023 Medicare Physician Fee Schedule (MPFS) final rule on November 1. Although many of its key provisions, such as payment rate changes and conversion factor updates, may not directly impact compliance officers’ activities, a few final rule updates require compliance officers’ attention for CY 2023.

This article discusses CY 2023 MPFS final rule changes to evaluation and management services (E/M), split (i.e., shared) services, telehealth, and behavioral health services.

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