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NTOCC Update: CMS releases final versions of Physician Fee Schedule Rule and the Home Health Payment System Rule

Posted on 11/5/2014 by NTOCC ® in Public Policy Updates

This week, the Centers for Medicare and Medicaid Services (CMS) released the final versions of the Physician Fee Schedule (PFS) Rule and the Medicare Home Health Prospective Payment System (HH PPS). In the PFS rule, NTOCC was particularly concerned with the implementation of the Chronic Care Management (CCM) code. CMS’ proposal would pay physicians a separate fee for managing Medicare beneficiaries with two or more chronic conditions. In the HH PPS rule, NTOCC commented on the proposed changes to the face-to-face encounter requirements that could have a negative impact on Medicare beneficiaries’ transitions to home health.


NTOCC staff is currently reviewing the rules and will provide an update on the final provisions of both rules that are relevant to NTOCC. Attached are NTOCC’s comment letters on the PFS and HH PPS proposed rules.  Please also see the CCM section of the final PFS rule. If you would like to review the entire rules, you may access them

here (PFS) and here (HH PPS).