CMS’ Calendar Year 2019 Medicare Physician Fee Schedule Final Rule

On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019.

Reliant’s Real Time Memo, which summarizes the final rule, can be downloaded here. The following is included in the summary:

  • Conversion factor update
  • Discontinuation of functional status reporting (G-code) requirements for outpatient
  • Update on outpatient physical therapy and occupational therapy services furnished by assistants
  • KX modifier attestation amount
  • Medicare telehealth services update

Payment provisions

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