Tuesday, January 27, 2015

CMS - Emergency Update to the Calendar Year (CY) 2015 Medicare Physician Fee Schedule Database

Dan Ciolek


The Centers for Medicare and Medicaid Services (CMS) recently released a Medicare Learning Network (MLN) article for providers to announce an emergency update to payment files issued to contractors based on the CY 2015 MPFS Final Rule. Change Request CR9081 amends those payment files, including an updated conversion factor of $35.7547 for services furnished between January 1, 2015, and March 31, 2015, consistent with the Protecting Access to Medicare Act of 2014 that provides for a zero percent update from CY 2014 rates. Make sure that your billing staffs are aware of these changes.

AHCA had previously alerted members of this issue (here) and (here). Thanks to the efforts of Tony Marshall, the Senior Director of Reimbursement for the Florida Health Care Association, AHCA is able to post the updated 2015 Medicare Part B Fee Schedule that applies to Part B therapy services for the period from January 1 through March 31, 2015 here. If you downloaded this AHCA resource file prior to January 7, 2015, please download the updated file which reflects the CMS correction.

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