FEE SCHEDULE NEWS:

• Physician – CMS has posted new updates to the National Physician Fee Schedule Relative Value File effective January 1, 2018. The next expected update is April 1, 2018.
• HCPCS – New HCPCS codes have been published by CMS with an effective date of January 1, 2018.  The next expected update is in April 1, 2018.
• Clinical Laboratory – CMS has released the new 2018 clinical laboratory fee schedule with an effective date of January 1, 2018. The next expected update is January 1, 2019.
• DMEPOS – CMS has released a new update effective January 1, 2018. The next update is expected on April 1, 2018.
• ASC – CMS has released a new update to the ASC fee schedule with an effective date of January  1, 2018. The next expected update is April 1, 2018.
• Ambulance – CMS released the 2018 ambulance fee schedule with an effective date of January 1, 2018. The next expected update is scheduled for January 1, 2019.
• OPPS – CMS has released a new update to the hospital outpatient fee schedule with an effective date of January 1, 2018. The next expected update is April 1, 2018.
• CCI and MUE Edits – CMS has released the January 1, 2018 changes for the MUE and CCI edits. The next expected update is for April 1, 2018.

FEE SCHEDULE NEWS:

• Physicians - CMS has released revisions to the third quarter data effective July 1, 2020.
• Outpatient and ASC – CMS has adopted new Outpatient and ASC data effective of July 1, 2020.
• Clinical Lab – CMS has released the Clinical Lab module effective July 1, 2020.
• DMEPOS – CMS has adopted the DMEPOS module with an effective date of July 1, 2020.
• ASP Drugs – CMS has released revisions to the third quarter data effective July 1, 2020.

FEE SCHEDULE NEWS:

• Physicians - CMS has posted the Physician Fee Schedule effective July 1, 2020.
• Clinical Lab – CMS has posted Medicare Administrative Contractor (MAC) pricing for COVID-19 codes 86328, 86769 and 87635.
• CCI, MUE and Add-on Edits – CMS has posted the CCI, MUE and Add-on edits effective July 1, 2020.
• ASP Drugs – CMS has posted the ASP Drug file effective July 1, 2020 and reposted the ASP Drug files effective July 1, 2019, October 1, 2019, January 1, 2020 and April 1, 2020.

FEE SCHEDULE NEWS:

• Physicians - CMS has updated the list of approved telemedicine procedures and reposted the Physician Fee Schedule with an effective date of April 1, 2020.
• Clinical Lab – CMS has reposted the Clinical Lab file effective April 1, 2020.
• CCI and MUE Edits – CMS has reposted the CCI and MUE edits effective April 1, 2020.
• ASP Drugs – CMS has reposted the ASP Drug file effective April 1, 2020.
• DMEPOS – CMS has updated the DMEPOS as a result of the CARES Act. This update increases the non-rural rates for many codes and is effective retroactive to March 6, 2020.
• ASC – CMS has reposted ASC Addendum BB effective April 1, 2020.
• Outpatient Hospital – CMS has reposted OPPS Addendum B effective April 1, 2020.

FEE SCHEDULE NEWS:

• Clinical Lab – CMS has released the new April 2020 Clinical Lab database. The next update is expected in July 2020.
• Outpatient and ASC – CMS has released the new April 2020 Outpatient and ASC data. The next update is expected in July 2020.
•   Telehealth – CMS has updated the list of covered telehealth services during the Public Health Emergency. To view the updated list, go to https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes.
• CMS has released ICD-10-CM Official Coding guidelines for COVID-19 testing and diagnosis. To view the guidelines, go to https://www.cdc.gov/nchs/data/icd/COVID-19-guidelines-final.pdf

FEE SCHEDULE NEWS:

• Physicians – CMS has released the new April 2020 Physician database. The next update is expected in July 2020.
• CCI Edits - CMS has released updates to the Outpatient and Physician PTP Edits with an effective date of January 1, 2020.

FEE SCHEDULE NEWS:

• Physicians – CMS has released revisions to the GPCI data and anesthesia conversion factors with an effective date of January 1, 2020.
• Clinical Laboratory – CMS has released revisions to the 2020 clinical laboratory fee schedule with an effective date of January 1, 2020.
• CCI Edits - CMS has released updates to the Outpatient and Physician PTP Edits with an effective date of January 1, 2020.
• PSF Files – CMS has released facility provider specific files with an effective date of January 1, 2020. The next update is expected in April 2020.

FEE SCHEDULE NEWS:

•  OPPS – CMS has released new updates to the hospital outpatient fee schedule with an effective date of January 1, 2020. The next expected update is April 2020. 
• ASC – CMS has released a new update to the ASC fee schedule with an effective date of January 1, 2020. The next expected update is April 2020.
• Clinical Laboratory – CMS has released the new 2020 clinical laboratory fee schedule with an effective date of January 1, 2020. The next expected update is January 2021. 
• Ambulance - CMS has released the new 2020 Ambulance fee schedule with an effective date of January 1, 2020. The next expected update is January 2021.

FEE SCHEDULE NEWS:

• Physician – CMS has released the new 2020 1^st Quarter Physician data set effective January 1, 2020.
• ASP Drugs - CMS has released the new 2020 ASP Drugs, 1^st Quarter, effective January 1, 2020 and reposted the January, April and July 2019 ASP Drug files.
• CCI and MUE Edits – CMS has released the new 2020 1^st Quarter CCI and MUE data code sets with an effective date of January 1, 2020.

FEE SCHEDULE NEWS:

• HCPCS – CMS has released the new 2020 HCPCS code set effective January 1, 2020.