tci Medicare Compliance & Reimbursement - 2023 Issue Q4

Reimbursement: CMS Opts For Punishing CF Cut In 2024

Add-on code, regulatory requirements factor into final decrease. Despite rising costs, industry outcry, and a general malaise surrounding another proposal to decrease the conversion factor (CF) for 2024, Medicare went ahead and cut it anyway — and for more than originally promised. Context: On Nov. 16, the Centers for Medicare & Medicaid Services (CMS) published the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) final rule in the Federal Register, which is unsurprisingly mammoth in size and scope. There are many positives among the policies — particularly in the areas of primary care, telehealth, and behavioral healthcare &mdash...

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