Fee schedule round-up: Conversion factor cut, PAs freed and more

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes a wide range of CMS final rule changes affecting Medicare payment and billing for CY2022. It is aimed at physicians, therapists, clinics, billing professionals, and revenue cycle teams that need a high-level view of fee schedule updates, telehealth and care management policy revisions, vaccine administration payments, rural and federally qualified clinic billing, and selected coverage and compliance changes.

Why This Topic Matters

These annual fee schedule changes can affect reimbursement, billing workflows, documentation, supervision requirements, and service availability across multiple specialties and practice settings. The roundup helps readers quickly identify which policy areas warrant closer review in the full rule or in their own billing operations.

Article Sections

  1. Physician fee schedule

    Summarizes the annual physician fee schedule update and related payment policy context for CY2022.

  2. E/M and teaching physicians

    Covers CMS updates affecting evaluation and management billing in teaching physician settings and resident-related encounters.

  3. CMS slims therapy assistant reduction

    Describes changes affecting physical therapy and occupational therapy assistant payment adjustments and related modifiers.

  4. PAs approved for direct-billing

    Explains a payment policy change affecting physician assistants and service payment assignment under Medicare.

  5. Additional news and notes

    Collects several other Medicare payment, coverage, and reporting updates spanning vaccines, nutrition therapy, imaging, prevention programs, pulmonary rehab, rural clinics, telehealth, drug reporting, supply pricing, coverage decisions, and electronic prescribing.

What You Will Learn

  • What kinds of Medicare payment and billing changes were finalized for CY2022
  • Which provider types and specialties are affected by the rulemaking
  • How CMS addressed telehealth, care management, preventive services, and selected coverage policies
  • Which broad policy areas may require follow-up review by billing and compliance staff

Who Should Read This

  • Physicians
  • Medical practice administrators
  • Coders and billers
  • Revenue cycle professionals
  • Therapists and therapy managers
  • Clinic compliance staff
  • Rural health clinic and FQHC administrators

Codes Discussed


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