The Centers for Medicare and Medicaid Services (CMS) has released the proposed Medicare Physician Fee Schedule (MPFS) and associated rules [PDF, 9.4MB] for 2014. The 652-page proposal includes
- annual changes in coding and relative value units,
- the Physician Quality Reporting System (PQRS),
- billing "incident to" requirements,
- overpayment liability.
ASHA is currently analyzing the proposed rule. Comments to CMS are due by September 6, 2013. The final rules for 2014 are expected to be published by November 2013.
ASHA is also reviewing other proposed rules recently released by Medicare that affect audiology and speech-language pathology services.
Each year CMS releases proposed rules and rates for the following year with a 60-day comment period. Audiology and speech-language pathology services under Medicare Part B (outpatient) have reimbursement rates established by the MPFS, while the Hospital Outpatient Prospective Payment System only affects audiology services. Speech-language pathology services provided in hospital outpatient settings are based on the MPFS. Additional proposed rules are often driven by legislative mandates or necessary programmatic changes. ASHA continues to work with CMS officials and will submit comments—on behalf of audiologists and speech-language pathologists—that reflect ASHA member concerns.
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 [email protected], or Lisa Satterfield, ASHA's director of health care regulatory advocacy, at [email protected].