MGMA Washington Connection 11/04/2021

11/09/2021 4:11 PM | Rebekah Francis (Administrator)

CMS finalizes 2022 Physician Fee Schedule

On Nov. 2, the Centers for Medicare & Medicaid Services (CMS) released the final 2022 Medicare Physician Fee Schedule rule, finalizing changes to physician payment policies, including changes to the Merit-based Incentive Payment System and alternative payment model participation options and requirements. Most of the final policies will take effect Jan. 1, 2022. MGMA submitted detailed comments in response to the proposed rule and thanks CMS for incorporating MGMA’s feedback into the final rule.

CY 2022 CF:

- Physician: $33.5983
- Anesthesia: $20.9343

Additional information:
PFS fact sheet
QPP fact sheet
MGMA comments

CMS finalizes 2022 outpatient facility and ambulatory surgical center rule

On Nov. 2, CMS released the 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule. This rule finalizes CY 2022 OPPS and ASC payment rates and policies, including updates to improve transparency and quality reporting.

Additionally, CMS is finalizing, as proposed, to use CY 2019 claims data for payment rate setting due to the impact of the COVID-19 public health emergency.


Additional information:
OPPS/ASC fact sheet
CMS press release



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