Physician Fee Schedule Update: Review New Refund Requirements for Compliance
New PFS rules affect billing strategies, effective March 15, 2023.
Retroactive
March 15, 2023
This policy took effect before it was published. Review the source document to confirm applicability.
The final rule for Medicare and Medicaid Programs under the Physician Fee Schedule (PFS) has been released, impacting billing practices across various specialties with an effective date of March 15, 2023.
What Changed Recent changes to the PFS affect billing and reimbursement strategies, including specific requirements for refunds related to discarded amounts of certain single-dose or single-use package drugs. These updates necessitate adjustments in billing practices to comply with new refund policies.
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Quick answers
What specific changes should billing staff be aware of?
Staff should focus on the refund requirements for discarded amounts of single-dose or single-use package drugs.
How does this affect my practice's billing protocols?
You'll need to update billing protocols to comply with new refund rules and ensure staff are adequately trained.
Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.