Reimbursement and Payment Methodologies

Review new coding and billing requirements for advanced primary care management (APCM) services that will take effect on January 1.

After publishing the 2025 Medicare Physician Fee Schedule (MPFS) final rule, CMS provided more information on upcoming changes to the Medicare Shared Savings Program (MSSP). 

CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.

Organizations must prepare for a slew of new codes and billing updates for Part B payment, according to the 2025 Medicare Physician Fee Schedule (MPFS) final rule. The final rule, released November 1, details CMS’ numerous changes to payment rates, billable services, telehealth rules, and other services.

Set the stage for success and close out the year strong.

Jugna Shah, MPH, CHRI, highlights the need for Medicare payment policy changes.

Learn how to ensure your organization is in compliance with CMS’ newest rules.

Take a closer look at major changes in the works for outpatient reimbursement.

Review proposed changes to coding and reimbursement for chimeric antigen receptor T-cell (CAR-T) services.