Insights

On July 17, PYA presented the first part of its webinar series on the proposed Medicare payment rules for 2025. In parts 2, 3, and 4 of the series, on July 31, August 14, and August 21, we will address the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule, taking a deep dive into the rule’s most impactful provisions.

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On-Demand Webinar: 2025 Proposed Rules Part 2  – MPFS

Presented July 31, 2024.

PYA executives Miriam Murray, Valerie Rock, and Martie Ross covered the following topics from the proposed rule:

• 2025 payment rate reduction
• Deadline for reporting overpayments
• Advanced primary care management payments
• Telehealth
• Rural health clinics and federally qualified health centers

RESOURCES: SLIDES

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On-Demand Webinar: 2025 Proposed Rules Part 3 – MPFS

Presented August 14, 2024.

PYA executives Kimberly Campbell, Katie Croswell, Carine Leslie, Brian Raabe, and Valerie Rock covered these proposals: 

• Global surgery payment accuracy
• Evaluation & management services (including HCPCS G2211)
• New reimbursement for preventive services
• Digital therapeutics for behavioral health
• Supervision of outpatient therapy services
• Opioid treatment programs
• Skin substitutes
  

RESOURCES: SLIDES

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On-Demand Webinar: 2025 Proposed Rules Part 4 – MPFS

Presented August 21, 2024.

PYA executives Sarah Bowman, Katie Croswell, Lori Foley, and Martie Ross wrapped up the four-part series, focusing on the following topics:

• Quality Payment Program (MIPS)
• Medicare Shared Savings Program
• SDOH-related services
• Clinical Laboratory Fee Schedule payment reductions

RESOURCES: SLIDES

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View Part 1: CMS CY 2025 Proposed Rules
Presented July 17, 2024

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The popular twice-monthly PYA Healthcare Regulatory Roundup provides practical insights on the latest industry regulatory developments.

If you would like assistance with legislative or regulatory impacts or any matter involving compliance, valuation, or strategy and transactions, one of our executives would be happy to assist.

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