Credentialing, Revalidation Services professionals at The Firm Services

Credentialing, Revalidation Services professionals at The Firm Services

In a press release issued on July 8, the Centers for Medicare and Medicaid Services (CMS) announced its Proposed Rule on the FY16 Medicare Physician Fee Schedule (PFS). This Proposed Rule represents the first update to the PFS since the repeal of the Sustainable Growth Rate (SGR) update methodology earlier this year. Andy Slavitt Administrator of CMS stated “CMS is building on the important work of Congress to shift the Medicare program toward a system that rewards physicians for providing high quality care. Thanks to the recent landmark Medicare and children’s health insurance program legislation, CMS and Congress are working together to achieve a better Medicare payment system for physicians and the American people.”The proposed CY 2016 PFS rule includes but is not limited to the following updates:

  • Payment policies, proposals to implement statutory adjustments to physician payments based on misvalued codes
  • Physician Quality Reporting System
  • Physician Value-Based Payment Modifier

CMS is requesting comments by Aug. 31, 2015 on the following:

  • Implementation of certain provisions of the MACRA, including  the new Merit-based Incentive payment system
  • Potential expansion of the Comprehensive Primary Care Initiative

The Proposed Rule was published today in the Federal Register and can be accessed by clicking here.

Questions about 2016 Medicare Fee Schedules or ICD -10 ? or other changes in Medicare, Commercial Insurance, and Medicaid billing, credentialing and payments? Call the Firm Services at 512-243-6844 or