CMS Physician Fee Schedule Includes Value-Based Payment Modifier

The Centers for Medicare and Medicaid final rule for physician fee schedule has altered the original proposal on how to implement the value-based payment modifier, according to the American Society of Anesthesiologists.

CMS announced its intent to implement a VBM using a quality and cost tiering system to groups of 100 or more eligible professionals. Originally, CMS proposed to apply the payment adjustment to groups of 25 or more professionals.

In 2017, the VBM will apply to all physicians except those participating in accountable care organizations, pioneers or other initiatives from the Center for Medicare and Medicaid Innovation.

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