The Medicare Final Rule Confirms Big Payment Reduction for 2023

Why This Topic Matters

The final rule affects Medicare reimbursement, practice revenue planning, and reporting requirements for physician groups. For radiology and other specialties, it highlights policy changes that may influence payment, telehealth use, and MIPS-related performance in future payment years.

Article Sections

1. Payment changes and advocacy response

   This section discusses the Medicare Physician Fee Schedule final rule, overall payment changes, and the policy and advocacy activity surrounding the rule. It also references congressional efforts and professional society responses.

2. Medicare Fee Schedule Payment and Valuation Changes

   This section summarizes fee schedule valuation updates, service-level impact considerations, and radiology-related payment changes discussed in the rule. It also notes the treatment of telehealth flexibilities and related CMS policy provisions.

3. Quality Payment Program (QPP) Changes

   This section covers updates to the Quality Payment Program, including MIPS Value Pathways, traditional MIPS, quality measures, improvement activities, and scoring or weighting changes for the performance year.

4. Conclusion

   This section closes with a brief summary of the article’s outlook on fee schedule changes and pending advocacy efforts.