Rules & regulations: Proposed rule includes conversion factor cuts, split/shared revisions

Why This Topic Matters

The proposal touches multiple areas that affect physician reimbursement and operational planning, including fee schedule updates, telehealth policy, split/shared visit policy, and upcoming quality reporting changes. Readers can use the article to determine whether the full rule affects their specialty, billing workflow, or compliance responsibilities.

Article Sections

1. Conversion factor and payments

   Summarizes the proposed Medicare physician fee schedule payment changes and the general impact on specialties. Also notes related payment policy changes for certain provider types.

2. New CPT codes and split/shared review

   Introduces the proposed addition of new CPT services and discusses policy review areas related to facility-based split/shared visits and critical care guidance.

3. Enforcement of eRx for controlled substances could be delayed

   Covers proposed timing and compliance changes tied to electronic prescribing requirements under Medicare Part D, including potential exceptions and implementation timing.

4. Telehealth updates

   Reviews proposed changes to Medicare telehealth policy, including mental health telehealth access and temporary service-list timing updates.

5. Quality Payment Program

   Summarizes proposed updates to the Merit-based Incentive Payment System and the move toward MIPS Value Pathways, along with scoring and threshold changes.