Will Physicians Face Another Decrease In Payments? | Brouse McDowell | Ohio Law Firm

Will Physicians Face Another Decrease In Payments?

By Laura F. Fryan on September 01, 2017

As written in the September/October 2017 MD News Magazine
By, Laura F. Fryan, Attorney and Joseph M. Bucaro, Attorney, Health Care Practice Group, Brouse McDowell, LPA

Physicians may face a significant decrease in Medicare payments for certain services for the second year in a row. The Centers for Medicare & Medicaid Services (CMS) has again proposed to cut Medicare payments for services provided at non-excepted, off-campus provider based departments (PBDs). The proposed rule would slash Medicare payments for non-excepted PBDs by half, reducing them from 50% of the Outpatient Prospective Payment System (OPPS) to 25% for the 2018 calendar year. This may come as a surprise to many physicians, who likely were not expecting such a dramatic cut for the second straight year. However, the proposed rule is in line with CMS's continued goal to limit the expansion of provider-based billing.

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