The Centers for Medicare & Medicaid Services (CMS) has released the final rules for the outpatient prospective payment system (PPS) and the Medicare physician fee schedule. The final rules will be published in the Federal Register on November 13, 2014. Watch for a high-level summary of the rules from Premier on Monday.
The final outpatient PPS rule will increase payment rates for outpatient services by 2.3 percent based on a market basket of 2.9 percent minus adjustments for productivity and other policies.
Absent congressional intervention, the CY 2015 Medicare physician fee schedule (PFS) final rule will reduce payments to physicians by 21.2 percent in March 31, 2015 when the current SGR ‘patch’ expires, as called for under the sustainable growth rate (SGR) formula. However, Congress is expected to override the reduction, which it has done every year since 2003. Among other provisions in the rule, CMS finalized quality-related policies for the Medicare Shared Savings Program.
- Outpatient PPS CY 2015 final rule
- CMS fact sheet on payment provisions
- CMS fact sheet on quality provisions