CMS 2025 Proposed Physicians Fee Schedule

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Each and every year CMS goes through the process of creating the Physicians Proposed Fee Schedule to become effective on January 1st of the following year. The proposed rule is available in July, and there is a 60-day comment period in which anyone can comment on the proposed rule. At the end of the 60 days, CMS reviews all the comments and in the first week of November the final rule appears in the Federal Register. There can be differences between the proposed rule and final rule, but most frequently there are revisions, but not major changes.

Must Attend For

✓ Physicians
✓ CEO
✓ CFO
✓ Administrators
✓ Managers
✓ Coders
✓ Billers
✓ Surgery schedulers
✓ Auditors
✓ Claims adjuster

• Highlights of the Proposed Fee Schedule

• How do the proposed rule differ from the present rules

• How to analyze the rule to implement the pertinent changes to your practice

• Preparing to make revisions when the Final Rule is published

• How to submit comments to CMS about the proposed rule

• Implementing the changes from a workflow perspective

• Applying it to the practice to understand the financial impact to the practice

• Education of the pertinent staff within the practice in time for the changes

• The annual Physicians Fee Schedule Proposed Rule can have a major impact on the reimbursement for particular procedures or services, or all of the items on the CMS fee schedule. Understanding the possible rules before they are final helps office prepare for the upcoming year in determining the procedures and services they will offer, and the financial impact of the changes to their bottom line.

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Presenter

Lynn M. Anderanin

(CPC, CPMA, CPC-I, CPPM, COSC)