CMS Final Rule – Medicare Physician Fee Schedule

Carl J. Pucci in Finance & Reimbursement

CMS has issued its Final Rule (effective 1/1/17) with respect to the Physician Fee Schedule, including Part B Services and Out-Patient Therapy Services.

Note: The Therapy Caps have increased $20 (from $1,960 to $1,980) for calendar year 2017. The Therapy Cap Exceptions process remains in place through 12/31/17.

In addition, the required Manual Medical Review (MMR) process for certain services in excess of $3,700 also remains effective through 12/31/17.

Please see AHCA Bulletin and CMS MLN Matters for complete details.


Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15