CMS finalizes 2014 physician payment rates, policies

CMS finalizes 2014 physician payment rates, policies
The final payment rules for 2014 include a proposal to support care management outside the routine office interaction and policies to promote high quality care and efficiency, according to a report from the Centers for Medicare & Medicaid Services.

(HealthDay)—The final payment rules for 2014 include a proposal to support care management outside the routine office interaction and policies to promote high quality care and efficiency, according to a report from the Centers for Medicare & Medicaid Services (CMS).

Starting in 2015, the CMS will establish separate payment for managing patient care outside of face-to-face office visits. The 2014 payment rates also increase payment for several medical specialties, with large increases going to mental health service providers, including psychiatrists, clinical psychologists, and clinical social workers. A process is also being implemented to adjust payment rates for test codes on the Clinical Laboratory Fee Schedule, based on changes in technology, enabling more accurate payment for laboratory tests.

In addition, the rule includes provisions relating to physician quality programs and the Physician Value-Based Payment Modifier, and to the Physician Quality Reporting System for 2014, including an option for quality measure reporting through qualified clinical data registries.

"Health care is changing, and part of delivery system reform is recognizing this and making sure payment systems account for these changes," CMS principal deputy administrator Jon Blum said in a statement. "We believe that successful efforts to improve chronic care management for these patients could improve the quality of care while simultaneously decreasing costs, through reductions in hospitalizations, use of post-acute care services, and emergency department visits."

More information: More Information

add to favorites email to friend print save as pdf

Related Stories

CMS implementing physician quality reporting system

Jun 21, 2013

(HealthDay)—To promote the reporting of quality information by eligible professionals, the Physician Quality Reporting System is being implemented, according to a report from the Centers for Medicare & ...

CMS proposes new rule for outpatient payment policies

Jul 15, 2013

(HealthDay)—A new rule proposes updating Medicare payment policies and rates for the hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) services, according to a report ...

New rule for home health prospective payment system

Jul 02, 2013

(HealthDay)—A new rule proposing changes to the Medicare home health prospective payment system (HH PPS) is set to reduce costs for calendar year 2014, according to a report issued by the Centers for Medicare ...

2012 primary care incentive payments top 664 million

Aug 13, 2013

(HealthDay)—Payments from the Medicare Primary Care Incentive Payment Program (PCIP) were more than $664 million for calendar year 2012, according to a report published by the Centers for Medicare & Medicaid ...

Recommended for you

Autonomy and relationships among 'good life' goals

2 hours ago

Young adults with Down syndrome have a strong desire to be self-sufficient by living independently and having a job, according to a study into the meaning of wellbeing among young people affected by the disorder.

Obama: 8 million signed up for health care (Update)

17 hours ago

President Barack Obama said Thursday 8 million Americans have signed up for health care through new insurance exchanges, besting expectations and offering new hope to Democrats who are defending the law ahead ...

User comments