It’s That Time of the Year…

The 2024 Final Rule is Published!

Here are some of the highlights that will potentially affect your clinics effective January 1, 2024:

• The conversion factor has once again decreased to $32.7442 for 2024. This is a -3.37% decrease from the 2023 conversion factor. *
• The Appropriate Use Criteria program guidelines were rescinded, and implementation paused.
• + G2211 Visit complexity inherent to evaluation and management… is effective January 1, 2024.
• Once again, we see positive changes for telehealth through the end of 2024:
• Physicians can now use their practice address on Medicare enrollment and claims instead of their home address.
• Telehealth home visits will be reimbursed at the higher non-facility fee schedule rate for place of service 10 Telehealth Provided in Patient's Home.
• Place of service 02 Telehealth Provided Other than in Patient's Home will be reimbursed at the lower facility rate.
• Coverage will continue for services already listed on the Medicare Telehealth Services List.
• Permit direct supervision using audio and video interactive telecommunication for all physicians (including RHCs and FQHCs).
• CMS will move from Category 1, 2, and 3 listings to the categories of “permanent” or “provisional” listings beginning in 2025.

This and much more will occur in the new year. For a comprehensive review of all policy changes finalized for CY 2024:

Don’t forget to visit https://karenzupko.com/ to learn more about 2024 national conferences and other educational opportunities with KZA. 

*CMS corrected the conversion factor from $32.7375 which was originally published in error on Table 116.