![]() ![]() States Are Restarting Medicaid & CHIP Eligibility Reviews: Tell Your Patients to Prepare Now ![]() Average Sales Price Files: July 2023ĬMS posted the July 2023 Average Sales Price (ASP) and Not Otherwise Classified (NOC) pricing files and crosswalks on the 2023 ASP Drug Pricing Files webpage. See a summary of proposed provisions. We encourage you to review the rule and submit formal comments by September 11, 2023. When to Use Fee Schedule, Create New Fee Schedules, Attach Fee Schedules to Employer or Patient, Edit Existing Fee Schedules, Print Fee Schedule Reportįee schedules are used to charge fees that differ from the practice's standard fees.Spotlights Submit Comments by September 11 – CY 2024 Physician Fee Schedule Proposed RuleĬMS issued the CY 2024 Physician Fee Schedule (PFS) proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the PFS and other Medicare Part B payment policy issues. There are two types of fee schedules - insurance fee schedules and patient fee schedules. Insurance fee schedules are used when a practice is contracted with an insurance company, often referred to as in network, contracted, or PPO. Patient fee schedules are used when a patient does not have insurance and the practice wants to charge them a different fee than the master fee, often referred to as in-house discount plan for cash patients.Fee Schedules attached to the patient override all other fee schedules/fees.Fees that are not included in a fee schedule will be charged the rate from the Master Standard fee.Fee Schedules attached to the employer override the Master Standard fees. With a fee schedule, the contracted fee will reflect on production. If the practice wants to reflect the full master standard fees on production, a coverage book is recommended.
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