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San Francisco Marin Medical Society Blog


Proposed Rule Released Update to Physician Fee Schedule (i.e., changes to compensation and reimbursement rules)

In July, CMS released the first update to the Physician Fee Schedule since the repeal of the Sustainable Growth Rate through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The proposal includes a number of provisions focused on person-centered care, and continues the Administration’s commitment to transform the Medicare program to a system based on quality and healthy outcomes.

2015 Medicare Fee Schedule Includes Chronic Care Billing Code, Sunshine Act Changes

Beginning in 2015, primary care physicians and others could begin billing separately for chronic care management services if the Physician Fee Schedule proposed by the Centers for Medicare and Medicaid Services is adopted.

Blue Shield Announces Fee Schedule Changes Effective December 1

Blue Shield announced changes to its physician fee schedule that will take effect December 1, 2013. In a notice to physicians, the insurer said that it would be increasing payment for evaluation and management services for preventive care. Additionally, Blue Shield notes payment increases for the more commonly billed office visit codes 99204, 99205, 99213, and 99214.