2025 Medicare Physician Fee Schedule Proposed Rule

On July 10, the Centers for Medicare and Medicaid Services issued a proposed rule for Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues. The Medicare Part B payment policies directly and indirectly impact multiple types of services furnished to residents of short- and long-stay nursing homes, assisted living communities, and residences for individuals with intellectual and developmental disabilities.

These services include those from physicians, nurse practitioners, physical and occupational therapists, speech-language pathologists, and portable x-ray and laboratory service providers. When finalized, these policies would become effective January 1, 2025.

Links for more information:

• Proposed Rule Advance Notice
• Proposed Rule Fact Sheet
• Proposed Rule Medicare Shared Savings Program (MSSP) Fact Sheet

AHCA/NCAL is currently reviewing the proposed rule and has identified several policy changes that could impact the long term and post-acute sector. Highlights of many of these potential policy changes are available to members HERE (login required).

The Association will be submitting comments by the end of the comment period that concludes September 9, 2024.

For more information and comment suggestions, please contact Dan Ciolek at [email protected] about the PFS and Medicare Part B issues, and Nisha Hammel at [email protected] about the MSSP provisions.