Lexology September 4, 2024
The Centers for Medicare & Medicaid Services (CMS) recently published two proposed rules that could affect Medicare reimbursement for cardiology services. On July 22, 2024, CMS published the Calendar Year (CY) 2025 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center (ASC) Payment System Proposed Rule (Proposed OPPS/ASC Rule), which includes changes in payment rates and covered procedures for ASCs. CMS also published on July 31, 2024, the CY 2025 Medicare Physician Fee Schedule Proposed Rule (Proposed PFS Rule), which proposes a new payment model that couples payments for cardiovascular risk assessments and care management.
Comment periods for the Proposed OPPS/ASC Rule and Proposed PFS Rule will close on Sept. 9, 2024. Both rules will likely be finalized in early...
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