Analysis of 2012 Medicare Fee Schedule

The Centers for Medicare and Medicaid Services (CMS) issued the 2012 Outpatient Medicare Physician Fee Schedule (MPFS) for Part B services on November 1, 2011.

The 2012 Medicare Fee Schedule & Hospital OPPS for Audiologists, 2012 Medicare Fee Schedule for Speech-Language Pathologists, and a copy of the CMS final rule are available to ASHA members at the links below.

ASHA's analysis of the 2012 fee schedule provides an overview of new policy changes, reproduces a listing of all procedures used by SLPs and audiologists, calculates the actual national average payment amounts, and provides information for accessing the exact payment figure based on geographic location.

New Developments

• House and Senate Pass Bill to Avert Medicare Payment Reduction and Extend Therapy Cap Exceptions Process (2/20/2012)

2012 Medicare Fee Schedules

Note: On Wednesday, February 22, 2012, the president signed the "Middle Class Tax Relief and Job Creation Act of 2012" into law. The law eliminates the 27.4% reduction and extends the therapy cap exceptions process through December 31, 2012.

• Final! 2012 Medicare Fee Schedule & Hospital OPPS for Audiologists [PDF]
• Final! 2012 Medicare Fee Schedule for Speech-Language Pathologists [PDF]
• 2012 Final Rule [PDF, 27.7MB]

To give members the most concise and accurate information available in one location, ASHA carefully analyzes over 1000 pages of CPT codes and payment policies from the Federal Register and AMA CPT Manual. For further information, please contact reimbursement@asha.org.

2011 Medicare Fee Schedules

• 2011 Medicare Fee Schedule & Hospital OPPS For Audiologists [PDF]
• 2011 Medicare Fee Schedule for Speech-Language Pathologists [PDF]
• 2011 Final Rule [PDF, 53.6MB]