On Demand: Highlights of the 2023 Final CMS PFS and HOPPS Rules-Presentation Slides

Presentation Slides

Pdf Summary

The document provides highlights from the 2023 Final CMS PFS and OPPS Rules. <br /><br />In the CMS MPFS Final Rule, the conversion factor has been updated and there will be a projected decrease of 1% in CV services compared to 2022. There are also updates to work and/or PE values for codes, which were finalized mostly below RUC recommendations. The document provides specific details on the financial impacts for CV services. <br /><br />The document also highlights the changes made to Evaluation and Management services (E/M) for 2023. The AMA's changes to several E/M code families have been adopted, and the revised E/M services will now be based on the level of the Medical Decision Making (MDM) or total time for the service performed. The document provides a table with the revised E/M codes and their corresponding work RVUs. <br /><br />There are also updates on telehealth services, including the maintenance of temporary PHE telehealth codes as Category 3 codes through 2023. The document also mentions the use of direct supervision through virtual presence and the proposal to make that flexibility permanent. <br /><br />In the OPPS Final Rule, there is a 3.8% payment update for hospitals based on a projected increase in the hospital market basket. The document also mentions the creation of Rural Emergency Hospitals (REHs) and payment changes in ASCs for non-opioid pain management drugs. <br /><br />The document includes information on key changes and updates to the Quality Payment Program (QPP) for 2023, as well as other advocacy initiatives and the need for long-term payment reform. Resources and contact information are provided at the end of the document.

Keywords

2023 Final CMS PFS and OPPS Rules

CMS MPFS Final Rule

CV services

E/M code families

Medical Decision Making

revised E/M codes

telehealth services

OPPS Final Rule

payment update

Quality Payment Program