Coverage Report:

2023 Medicare Physician Fee Schedule and Quality Payment Program

Coverage of the Final 2023 Medicare Physician Fee Schedule and Quality Payment Program

Reimbursement upheaval, telehealth coverage changes and a major shift to the facility-based E/M services are just several of the critical updates to Medicare policy contained in the final 2023 physician fee schedule.


Understand the ins and outs of 2023-effective updates to ensure your coding, billing, compliance and quality reporting strategies are in shape to meet the challenges of the new year. Download this 16-page comprehensive coverage report today! Highlights include:

Observation/Inpatient Policies

8-to-24-hour rule remains in place. CMS finalized its plan to continue to apply the 8-to-24-hour rule for the newly consolidated inpatient or observation and discharge codes to deter what the agency views as the potential for duplicative payments.

Physician Payments

Nov. 1 confirmed a harsh reality: Medical groups will see a 4.5%cut to the conversion factor (CF) on Jan. 1, 2023, as the CF falls to a rate of $33.06 and sends some charges under the Part B payment system tumbling.

New Prolonged Codes

Practices that report E/M services based on time could have to juggle up to six prolonged service codes in 2023 depending on where providers treat patients and on individual payer policy.

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