Fee schedule round-up: Dental services, MDPP, vaccine fee rates and more

Why This Topic Matters

The article brings together several Medicare policy changes that affect reimbursement, coverage, and billing operations across physician, clinic, preventive service, and telehealth settings. It helps readers quickly identify which portions of the final rule may affect their organization without needing to scan the full regulatory text.

Article Sections

1. Physician fee schedule

   Introduces the fee schedule round-up and frames the major Medicare policy areas discussed in the article.

2. Dental services

   Covers Medicare policy updates related to dental services linked to covered medical care and related claim requirements.

3. Vaccine administration payment rates on the rise in 2025

   Summarizes payment updates for vaccine administration services and related year-to-year rate changes.

4. Hepatitis B vaccine eligibility is expanded

   Describes expanded Medicare coverage parameters and administrative changes affecting hepatitis B vaccination.

5. Coverage for colorectal cancer screening updated

   Reviews changes to colorectal cancer screening coverage policy and related ordering requirements.

6. Work RVUs for acupuncture drop, supply prices jump

   Addresses relative value unit updates and supply pricing changes for acupuncture-related services.

7. Medicare Diabetes Prevention Program (MDPP) changes

   Covers updates to program terminology, delivery formats, reporting concepts, and participation rules for the diabetes prevention program.

8. MDPP bridge payment is suspended

   Summarizes a payment policy change and a reporting update affecting MDPP session billing.

9. New overpayments rules: FCA standard, 180-day window

   Reviews revisions to Medicare overpayment standards and timeline provisions for Part A and Part B.

10. RHC and FQHC policy updates

    Covers policy and billing updates for rural health clinics and federally qualified health centers, including telehealth, preventive services, and payment methodology changes.