CMS has issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2018.
The update to payments under the PFS in 2018 will be 0.31 percent. This reflects the 0.5 percent update factor established under the Medicare Access and CHIP Reauthorization Act (MACRA), minus 0.09 percent, due to the misvalued codes target recapture amount, required under the Achieving Better Life Experience (ABLE) Act of 2014. The conversion factor was reduced by an additional 0.10 percent to offset spending on newly covered services,, include new coverage of prolonged preventive medicine services (codes G0513 and G0514) and remote monitoring CPT 99091. CMS finalized a 2018 conversion factor of 35.99. The Medicare anesthesia conversion factor for 2018 is 22.188