Billing Beat

2014 Medicare Physician Fee Schedule Final Rule

December 30, 2013

CMS issued on November 27, 2013 a final rule that updates payment policies and rates under the Medicare Physician Fee Schedule (MPFS) for physicians’ services furnished in calendar year (CY) 2014. The CY 2014 MPFS conversion factor (CF) is $27.2006. The CY 2014 conversion factor includes a statutorily required 20.1 percent SGR-related reduction unless Congress acts to avert the cut. Radiology Business Management Association (RBMA’s) comment letter on the CY 2014 MPFS proposed rule can be found through the link above.

Here is a BRIEF summary of the affect on radiology. 

  • The cumulative effect on IDTFs is -11%
  • The cumulative effect on diagnostic radiology is -2%
  • Did not expand the Multiple Procedure Payment Reduction (MPPR) policy
  • Implements the 90 percent utilization rate assumption for CT and MRI services

Source: https://www.rbma.org

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