The Centers for Medicare and Medicaid Services (CMS) released proposed rules for 2024 on the Medicare Physician Fee Schedule (MPFS) and the Hospital Outpatient Prospective Payment System (HOPPS). Both rules are open for comments until mid-September and the final rules are typically released in November. Changes in policy and payment made by the rules become effective on January 1, 2024.
Of note in the MPFS, CMS continues to expand evaluation and management services and is proposing a new code for a single serious of chronic condition. The telehealth flexibilities allowed during the public health emergency are also extended throughout 2024. Unfortunately, a 3.4% reduction in the Medicare conversion factor is proposed for 2024. A summary of the rule along with the charts for epilepsy services can be found here.
NAEC has prepared a chart showing the impact of the HOPPS rule on neurology outpatient services. CMS is proposing a 2.8% inflationary increase for hospital outpatient facility costs.