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2020 MPFS Final Rule Released

Patients over paperwork has been the theme for this year's MPFS updates. There are some reduced administrative burdens for 2020 with many more changes coming in 2021.

Here are 5 key takeaways from the 2020 final rule:

  1. NPP scope of practice language updates: Verbiage changes related to scope-of-practice requirements will now say that if an activity is consistent with state law, it is acceptable to Medicare.

  2. Hospice updates: Hospice facilities can now accept medication orders from NPPs as well as physicians.

  3. Anesthesia updates: Anesthetists can perform pre-anesthesia assessments. Although, a physician will be required to evaluate the risk of the surgical procedure itself.

  4. Physician Affiliations: CMS has new authority to revoke any physician's billing and reporting privileges if identified that the physician has direct or indirect affiliation with other providers or entities that have had their privileges revoked in the past, or if they owe money to the U.S. government.

  5. Advanced Diagnostics: All Medicare Part B advanced diagnostic imaging services now require appropriate use criteria (AUC)/clinical decision support (CDS) for ordering advanced diagnostic imaging services.

The FY 2020 Final Rule can be accessed here.


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