Presented Wednesday, July 26, 2023.

On July 13, CMS released the 2024 Hospital OPPS and Medicare Physician Fee Schedule proposed rules. PYA’s Martie Ross and Kathy Reep presented this 90-minute webinar diving deep into proposed payment and policy changes, including the following:

2024 Hospital OPPS Proposed Rule

• 2.8% payment rate update
• New benefit category for Intensive Outpatient Program services
• Changes to and enforcement of hospital price transparency requirements
• Separate payment for establishing and maintaining buffer stock of essential medicines
• Quality reporting program changes

 2024 Medicare Physician Fee Schedule

• 3.34% reduction in conversion factor (from $33.89 to is $32.75)
• E/M add-on code for complex patients
• Delay in changes to split/shared visit billing rules
• New payment for caregiver training services, community health integration services, social determinants of health risk assessment, and principal illness navigation services
• Telehealth policy changes