Becker's Healthcare November 5, 2024
CMS released its 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System on Nov. 1, which includes major changes for gastroenterologists.
Here are six things to know:
1. CMS finalized a 2.83% physician pay cut. The physician fee schedule conversion factor for 2025 is $32.35, down from $33.29 in 2024.
2. CMS also finalized a reimbursement increase of 2.9% for ASCs meeting quality reporting requirements next year. Updated reimbursement increases are based on a projected hospital market basket percentage increase of 3.4%, and then a 0.5 percentage point productivity adjustment. The final rule is 0.3% up from the proposed rule.
3. After the rule was proposed in July, Manoj Mehta, MD, gastroenterologist at the Chicago-based...