Medicare Physician Fee Schedule needs changing, but not to make physicians violate the law

Medical Economics January 12, 2024
Richard Payerchin

MGMA outlines legal technicality that HHS needs to address if Congress takes action.

Changing the Medicare Physician Fee Schedule (PFS) could create accounting difficulties that in turn become illegal actions under the letter of the law.

For weeks, medical organizations have been banging the drum to spur Congress to amend the 2024 PFS to restore a 3.4% cut from the 2023 reimbursement rate.

Until then, contractors will start processing 2024 Medicare Part B claims under the new, lower rate. If Congress restores the reimbursement, that could become a paperwork headache that potentially violates the law.

The Medical Group Management Association (MGMA) outlined the scenario in a letter this week to Chiquita Brooks-LaSure, administrator of the U.S. Centers for Medicare &...

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