American Speech-Language-Hearing Association

CMS Releases Proposed Medicare Fee Schedule for 2013

(July 9, 2012)

The Centers for Medicare and Medicaid Services (CMS) has released the proposed Medicare Physician Fee Schedule and associated rules [PDF] for 2013. The 765-page proposal includes changes in coding and relative value units, the Physician Quality Reporting System (PQRS), preventive services, the Medicare Shared Savings Program, and the reporting of outcome measures on the claim form for physical and occupational therapy and speech-language pathology services. The changes to therapy claims are driven by the Middle Class Tax Relief and Job Creation Act of 2012 [PDF] (Pub. L. 112-96), which was passed in February 2012.

ASHA has been working closely with CMS officials regarding the implementation of mandates in the legislation and will continue to advocate on all issues related to speech-language pathology and audiology services and to analyze the proposed rules and prepare comments. Comments are due to CMS by September 4, 2012. The final rules for 2013 are expected to be published by November 2012.

ASHA will continue to inform members of the changes in health care policy through Headlines, articles in The ASHA Leader, and webpage updates. For more information, contact Mark Kander, ASHA's director of health care regulatory analysis, at mkander@asha.org, or Lisa Satterfield, ASHA's director of health care regulatory advocacy, at lsatterfield@asha.org.


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