BC Advantage - 2022 Issue 8
CMS Proposes Physician Payment Rule to Expand Access to High-Quality Care
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Article Overview
This CMS news article summarizes proposed Calendar Year 2023 Physician Fee Schedule policies affecting Medicare payment and access to care. It is relevant to clinicians, coders, compliance staff, practice administrators, and Medicare policy readers who follow physician payment updates, behavioral health access, accountable care organization changes, preventive screening coverage, and medically integrated dental services. The article gives a high-level overview of the proposal areas and the broader program priorities they are intended to support.
Why This Topic Matters
The proposed rule could affect Medicare service access, payment policy, and care delivery models across multiple specialties and settings. Readers following federal Medicare policy will want to understand the scope of the proposed changes and the areas of care they may influence.
Article Sections
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Modernizing Coverage for Behavioral Health Services
Discusses proposed changes related to behavioral health access, practitioner supervision, integrated care, chronic pain management, and mobile-unit delivery options. The section also places these proposals within CMS behavioral health strategy goals.
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Expanding Access to Accountable Care Organizations
Summarizes proposed updates to the Medicare Shared Savings Program and related ACO participation policies. It addresses access, equity, and participation support for providers in underserved areas.
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Improving Access to Colon Cancer Screening
Covers proposed changes affecting colorectal cancer screening access and preventive service treatment under Medicare. The section references broader screening policy context and access considerations.
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Proposing Payment for Dental Services that are Integral to Covered Medical Services
Reviews proposed Medicare payment policy for dental services connected to covered medical treatment. It also notes CMS interest in additional circumstances where dental care may be considered part of medically necessary services.
What You Will Learn
- The major policy areas addressed in the Calendar Year 2023 Physician Fee Schedule proposed rule
- How CMS is framing proposed changes related to behavioral health, ACOs, cancer screening, and dental care
- Which broad Medicare access and health equity themes are emphasized in the proposal
- How the article positions the proposed rule within CMS and administration priorities
Who Should Read This
- Medical coders
- Compliance professionals
- Physician practice administrators
- Medicare policy analysts
- Healthcare revenue cycle staff
- Clinicians and care managers
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