What PAs Should Know About the 2023 Physician Fee Schedule Rule

On November 2, the Centers for Medicare and Medicaid Services (CMS), the federal agency that oversees the Medicare program, released the 2023 Physician Fee Schedule (PFS) final rule. The rule updates numerous Medicare coverage and payment policies that impact PAs, physicians, and other health professionals.
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CMS Mandatory Reporting Program to Include Data on PAs

In 2022, PAs are required to be included in the Centers for Medicare and Medicaid Services (CMS) Open Payments program. Open Payments is a national disclosure database aimed at improving transparency regarding healthcare financial relationships on a public website.
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AAPA Shares Update on State Medicaid Policies Pertaining to PAs

AAPA periodically issues a questionnaire to Medicaid agencies in all 50 states and D.C. to clarify policies pertaining to PAs. This year more states say they enroll PAs as billing providers – indicating that PAs are authorized to receive direct payment.
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CMS Releases 2022 Physician Fee Schedule Rule

As part of the final 2022 Physician Fee Schedule, the Centers for Medicare and Medicaid Services (CMS) finalized numerous Medicare coverage and payment policies that directly impact PAs. This is a brief summary of key policy changes which are effective January 1, 2022.

Medicare Preventive Services

PAs are covered for providing preventive care services for Medicare beneficiaries. Learn more about Medicare-covered preventive services and reimbursement policies. Medicare Wellness Visits Learn more about Medicare Wellness Visits, including…