Skilled Nursing News July 10, 2024
Amy Stulick

Average payment rates are set to decrease by 2.93% under the proposed 2025 Physician Fee Schedule (PFS), a change that incorporates the zero percent overall update required by statute.

The Centers for Medicare & Medicaid Services (CMS) announced the proposed rule on Wednesday.

Cynthia Morton, executive vice president for Advion Advocates, said this amounts to a 2.8% reimbursement reduction when nursing homes bill for Medicare Part B services, including rehabilitation therapy.

“This continues the downward reduction in reimbursement for essential services, especially for dually eligible residents where Medicare Part B covers doctor visits, rehab therapy and other services,” said Morton. “This continues the pressure on providers to continue providing services with less and less reimbursement.”

The proposed rule would also...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Physician, Provider
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