Multispecialty Alert: 2025 Payment Parameters — Review Billing Practices Now
New 2025 payment parameters affect health plan billing practices for multiple specialties.
Action required by
June 4, 2024
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
The rule titled "Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025" affects multiple specialties with an effective date of June 4, 2024.
What Changed This update includes revised payment parameters that have implications for billing practices across various health plans. Providers must ensure that they are in compliance with new billing stipulations set forth in the regulation to avoid potential reimbursement issues.
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Quick answers
Which specialties are affected by the new payment parameters?
The updated payment parameters affect various specialties covered under multiple health plans.
What steps should billing departments take to comply with the new parameters?
Billing departments should review the new parameters and adjust billing practices accordingly to align with the updated regulations.
When do the new payment parameters take effect?
The new payment parameters take effect on June 4, 2024.
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.