Draft of 2017 Medicare Fee Schedule Expands Primary Care Payments

There’s some promising news for primary care payment in CMS’s proposed 2017 Medicare fee schedule.  In a published draft released July 7th by CMS, the fee schedule contains several positive payment adjustments projected to add as much as 3% to allowed Medicare charges for family physicians.  This estimated increase is the largest of any specialty according to recent analysis by AAFP.

CMS is proposing to increase payments for several care management services, including non-face-to-face prolonged evaluation and management services, assessment and care planning for patients with cognitive impairment, and chronic care management for patients with more complex conditions.  CMS  plans to revalue some CPT codes as well.

The proposal aims to simplify chronic care management billing and adds several new codes to the list of services eligible to be furnished via telehealth.  The AAFP is currently analyzing the regulation, preparing a summary, and will provide detailed comments to CMS before the due date of September 6th.  Stay tuned!