United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2014_register executive 2014-11-13 article Part II Rules and Regulations D09002ee1c7f84031 D09002ee1c7f84127 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This major final rule with comment period addresses changes to the physician fee schedule, and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. See the Table of Contents for a listing of the specific issues addressed in this rule. 79 FR 67548 https://www.govinfo.gov/app/details/FR-2014-11-13/2014-26183 2014-26183 fr13no14-18 RIN 0938-AS12 4120-01-P CMS-1612-FC https://www.govinfo.gov/app/details/FR-2014-11-13/2014-26183 https://www.govinfo.gov/content/pkg/FR-2014-11-13/html/2014-26183.htm https://www.govinfo.gov/content/pkg/FR-2014-11-13/pdf/2014-26183.pdf Grant Programs-Health Health Insurance Hospitals Intergovernmental Relations Medicare Reporting and Recordkeeping Requirements Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Rural Areas X-Rays Laboratories Physician Referral Puerto Rico Electronic Health Records Health Maintenance Organizations (Hmo) Medicaid Penalties Privacy 463 p. 67548 68010 79 FR 67548 Title 42 Part 403 42 CFR Part 403 Title 42 Part 405 42 CFR Part 405 Title 42 Part 410 42 CFR Part 410 Title 42 Part 411 42 CFR Part 411 Title 42 Part 412 42 CFR Part 412 Title 42 Part 413 42 CFR Part 413 Title 42 Part 414 42 CFR Part 414 Title 42 Part 425 42 CFR Part 425 Title 42 Part 489 42 CFR Part 489 Title 42 Part 495 42 CFR Part 495 Title 42 Part 498 42 CFR Part 498 RIN 0938-AS12 Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to Identifiable Data for the Center for Medicare and Medicaid Innovation Models & Other Revisions to Part B for CY 2015; Federal Register Vol. 79, Issue RULE 2014-26183 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2015-01-01 CMS-1612-FC 4120-01-P 2014-26183 Final rule with comment period.

This major final rule with comment period addresses changes to the physician fee schedule, and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. See the Table of Contents for a listing of the specific issues addressed in this rule.

Effective date: The provisions of this final rule are effective on January 1, 2015, with the exception of amendments to parts 412, 413, and 495 which are effective October 31, 2014. Donta Henson, (410) 786-1947 for any physician payment issues not identified below. Grant Programs-Health Health Insurance Hospitals Intergovernmental Relations Medicare Reporting and Recordkeeping Requirements Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Rural Areas X-Rays Laboratories Physician Referral Puerto Rico Electronic Health Records Health Maintenance Organizations (Hmo) Medicaid Penalties Privacy Medicare Programs: Payment Policies under the Physician Fee Schedule, Revisions, etc. , donta.henson1@cms.hhs.gov OIRA_submission@omb.eop.gov Paperwork@cms.hhs.gov PhysicianCompare@Westat.com Qnetsupport@hcqis.org clinicaltrials.gov CMS.gov ftp://ftp.hrsa.gov/ruralhealth/Eligibility2005.pdf http://cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/ACO-8.pdf http://cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf http://innovation.cms.gov/initiatives/Advance-Payment-ACO-Model/ http://innovation.cms.gov/initiatives/Comprehensive-Primary-Care-Initiative/index.html http://innovation.cms.gov/initiatives/Pioneer-ACO-Model/ http://innovation.cms.gov/initiatives/Pioneer-ACO-Model/index.html http://innovations.cms.gov/initiatives/Comprehensive-Primary-Care-Initiative/index.html http://medicare.gov/physiciancompare/aco/search.html http://stats.bls.gov http://www.bls.gov/mfp http://www.bls.gov/news.release/prod3.nr0.htm http://www.bls.gov/oes/2013/may/oes151121.htm http://www.bls.gov/oes/2013/may/oes433021.htm http://www.bls.gov/oes/current/oes151121.htm http://www.bls.gov/oes/current/oes433021.htm http://www.cbo.gov/sites/default/files/05-03-medispending.pdf http://www.cms.gov/apps/ama/license.asp?file=/PQRS/downloads/2014_PQRS_IndClaimsRegistry_MeasureSpecs_SupportingDocs_12132013.zip http://www.cms.gov/manuals/downloads/ncd103c1_Part4.pdf http://www.cms.gov/Medicare/Billing/TherapyServices/index.html?redirect=/therapyservices http://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set.html http://www.cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Downloads/FQHC_APCP_Demo_FAQsOct2011.pdf http://www.cms.gov/Medicare/Fraud-and-Abuse/PhysicianSelfReferral/List_of_Codes.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AmbulanceFeeSchedule/index.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/FQHCPPS/index.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/2012-QRUR.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Downloads/2012-QRUR_Experience_Report.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Episode-Costs-and-Medicare-Episode-Grouper.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/index.html 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http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/physician-compare-initiative/ http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/physician-compare-initiative/Informational-Materials.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/AnalysisAndPayment.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2012-PQRS-and-eRx-Experience-Report.zip http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2014_PQRS_Claims_MeasureApplicabilityValidation_12132013.zip http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2014_PQRS_Registry_MeasureApplicabilityValidation_12132013.zip http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2014QualifiedRegistries.pdf http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Group_Practice_Reporting_Option.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/HelpDeskSupport.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html http://www.cms.gov/PhysicianFeeSched/ http://www.cms.gov/physicianfeesched/downloads/ http://www.cms.gov/physicianfeesched/PFS-Federal-Regulation-Notices.html/ http://www.cms.gov/physicianfeesched/PFSFederalRegulationNotices.html/ http://www.cms.gov/PhysicianFeeSched/PFSFRN/list.asp#TopOfPage http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Guide_QRDA_2014eCQM.pdf http://www.cms.hhs.gov/PaperworkReductionActof1995 http://www.ers.usda.gov/data-products/rural-urban-commuting-area-codes.aspx http://www.gpo.gov/fdsys/pkg/FR-2011-11-02/pdf/2011-27461.pdf http://www.healthit.gov/sites/default/files/acceleratinghieprinciples_strategy.pdf http://www.hhs.gov/ash/initiatives/mcc/index.html http://www.hhs.gov/news/press/2014pres/09/20140916a.html http://www.hhs.gov/ocr/civilrights/resources/specialtopics/hospitalcommunication http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/mhguidance.html http://www.ingentaconnect.com/content/jcaho/jcjqs/2012/00000038/00000010/art00006 http://www.iom.edu/Reports/2013/-/media/Files/Report%20Files/2013/Geographic-Variation/Sub-Contractor/Acumen-Medicare-Medicaid.pdf http://www.medicare.gov/physiciancompare http://www.medpac.gov/documents/Mar14_EntireReport.pdf http://www.qualityforum.org/map/ http://www.qualityforum.org/Press_Release/2014/NQF_Board_Approves_Trial_Risk_Adjustment.aspx http://www.qualityforum.org/Publications/2014/01/MAP_Pre-Rulemaking_Report-2014_Recommendations_on_Measures_for_More_than_20_Federal_Programs.aspx 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www.cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/downloads/mapcpdemo_Factsheet.pdf www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Downloads/PCIP-2011-Payments.pdf www.cms.gov/PhysicianFeeSched/ www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medical-Review/TherapyCap.html www.cms.gov/telehealth/ www.cms.gov/teleheath/ www.innovations.cms.gov/initiatives/FQHCs/index.html www.regulations.gov Vol. 79, no. 219 Office of the Federal Register, National Archives and Records Administration 2014-11-13 continuing daily deposited born digital 791 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2014-11-13 P0b002ee18a1a7a09 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr13no14 https://www.govinfo.gov/app/details/FR-2014-11-13 https://www.govinfo.gov/content/pkg/FR-2014-11-13/pdf/FR-2014-11-13.pdf https://www.govinfo.gov/content/pkg/FR-2014-11-13/xml/FR-2014-11-13.xml fdlp 67309 68091 DGPO 2014-11-13 2024-06-02 FR-2014-11-13 machine generated eng FR FR-2014-11-13 79 219