2024 Physician Fee Schedule Decreases Conversion Factor

The Centers for Medicare & Medicaid Services (CMS) released the 2024 Physician Fee Schedule (PFS), which includes a decrease in the conversion factor. This won’t be welcome news for physicians considering the continuing high costs of practicing medicine.

The new policy includes many changes, including some related to the hot topics of telehealth and social determinants of health. This regulatory advisor will summarize some of the key changes but does not include all provisions. To review the entire rule, visit the Federal Register.

Industry in context

Physician reimbursement cuts have long been an issue. First, it was the sustainable growth rate necessitating annual Congressional intervention. Now it’s the evolution of the Medicare Access and CHIP Reauthorization Act payment structure setting up a similar scenario where Congress has had to intervene in recent years.

CMS’s final rule decreases the conversion factor by 3.4% over the prior year. This is due to prior congressional relief expiring, as well as a budget neutrality adjustment. Statute requires CMS to offset any estimated increases of $20 million or more because of payment adjustments or addition of new services with cuts elsewhere. As a result of these cuts, 2024 will bring a reduction in reimbursements for some physicians, which is at odds with the cost of practicing medicine, considering inflation, supply costs, and a tough labor market.

No one wants to revert to the annual congressional dance of stopping cuts, which is why many are advocating for a longer-term solution. Given the current political climate and financial impact a fix could have, that fix will likely not occur this year.

Payment provisions

Final conversion factor is $32.74

The conversion factor reflects a 3.4% decrease over the 2023 factor.

Practice expense determination

CMS has undertaken a multi-year effort to update methodology used to determine practice expense (PE). In the 2023 rule, CMS issued a request for information to receive public comment on potential strategies to update PE data collection and methodology. In the 2024 proposed rule, CMS solicited comment on the following questions:

• Should CMS consider aggregating data for certain specialties to create indirect allocators so practice expense calculations based on PPIS data would be less likely to over or under allocate indirect PE to a set of services, specialties, or practice types? If so, how should CMS approach establishing these aggregations?
• Does aggregation of services represent a “fair, stable, and accurate” means to account for indirect PEs across specialties or practice types?
• Should CMS balance factors that influence indirect PE inputs when these factors are likely to be driven by a difference in geography or setting of care? If so, how should CMS approach this?

The final rule contains a summary of comments received and CMS’s responses. CMS expressed a continued interest in maintaining dialogue with interested parties when considering methods for determining practice expense, particularly considering the continuing adoption of new technologies like AI.

Caregiver training services

Historically, CMS has taken the position that codes describing services provided to caregivers without the patient present are not covered services. However, in response to public comment in recent years regarding the empirical support for training parents, guardian, and caregivers, in specific patient circumstances CMS finalized an active payment status for the following codes:

CPT Code	Descriptor
96202	Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes
96203	Multiple family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes (list separately in addition to code for primary service)
9X015	Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (e.g., activities of daily living [ADLs], instrumental ADLs [IADLs], transfers, mobility, communication, swallowing, feeding problem solving, safety practices) (without the patient present), face-to-face; initial 30 minutes
9X016	Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (e.g., ADLs, IADLs, transfers, mobility, communication, swallowing, feeding problem solving, safety practices) (without the patient present), face-to-face; each additional 15 minutes (list separately in addition to code for primary service)
9X017	Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (e.g., ADLs, IADLs, transfers, mobility, communication, swallowing, feeding, problem solving, safety practices) (without the patient present), face-to-face with multiple sets of caregivers)

The caregiver training services described by the codes above may only be provided after obtaining consent from the patient, with the understanding that although the training is provided while the patient is not present, they will be responsible for any applicable cost-sharing.

CMS finalized an amended definition of “caregiver” for the purpose of caregiver training services as “an adult family member or other individual who has a significant relationship with, and who provides a broad range of assistance to, an individual with a chronic or other health condition, disability or functional limitation” and “a family member, friend or neighbor who provides unpaid assistance to a person with a chronic illness or disabling condition.”

CMS also clarified that the frequency of training sessions provided to a caregiver for the same patient may be based on the treatment plan, and may reflect changes in patient condition, diagnosis, caregivers, or the appropriate treatment plan.

Recognizing and addressing social determinants of health

As a result of increasing recognition within healthcare that it is essential to consider social determinants of health (SDOH) when providing services, CMS finalized a new stand-alone G code, G0136 (administration of a standardized, evidence-based Social Determinants of Health Risk Assessment, 5 – 15 minutes, not more often than every six months). The proposed requirement that the risk assessment be administered on the same day as an evaluation and management (E/M) visit is not being finalized.

In addition, CMS finalized the creation of two new G codes to better recognize work done by non-physician personnel in recognizing and addressing SDOH risk factors. In response to comments, CMS removed “E/M” from the description of code G0019 to reflect a final policy allowing both an E/M service and an annual wellness visit (AWV) service to serve as the initiating visit for CHI services. The finalized code descriptions are:

G Code	Descriptor
G0019	Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (SDOH) need(s) that are significantly limiting ability to diagnose or treat problem(s) addressed in an initiating visit: Person-centered assessment, performed to better understand the individualized context of the intersection between the SDOH need(s) and the problem(s) addressed in the initiating visit Practitioner, home-, and community-based care coordination Helping the patient contextualize health education provided by the patient’s treatment team with the patient’s individual needs, goals, and preferences, in the context of the SDOH need(s), and educating the patient on how to best participate in medical decision-making Building patient self-advocacy skills, so the patient can interact with members of the health care team and related community-based services addressing the SDOH need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment Health care access/health system navigation Facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals Facilitating and providing social and emotional support to help the patient cope with the problem(s) addressed in the initiating visit, the SDOH need(s), and adjust daily routines to better meet diagnosis and treatment goals Leveraging lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals
G0022	Community health integration services, each additional 30 minutes per calendar month (list separately in addition to G0019)

CMS is not finalizing frequency limitations for code G0022 to allow flexibility when more than 60 minutes are spent on CHI services in a single month.

In addition, CMS finalized the following G codes for Principal Illness Navigation (PIN) services:

HCPCS G Code	Descriptor
G0023	PIN services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator or certified peer specialist; 60 minutes per calendar month, in the following activities: Person-centered assessment, performed to better understand the individual context of the serious, high-risk condition Identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services Practitioner, home, and community-based care coordination Helping the patient contextualize health education provided by the patient’s treatment team with the patient’s individual needs, goals, preferences, and SDOH need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making Building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition Health care access/health system navigation Facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals Facilitating and providing social and emotional support to help the patient cope with the condition, SDOH need(s), and adjust daily routines to better meet diagnosis and treatment goals Leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals
G0024	PIN services, additional 30 minutes per calendar month (list separately in addition to G0023)
G0140	Principal Illness Navigation — Peer Support by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a certified peer specialist; 60 minutes per calendar month, in the following activities: Person-centered interview, performed to better understand the individual context of the serious, high-risk condition. Identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. Practitioner, Home, and Community-Based Care Communication Health education — Helping the patient contextualize health education provided by the patient’s treatment team with the patient’s individual needs, goals, preferences, and SDOH need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. Building patient self-advocacy skills so that the patient can interact with members of the health care team and related community-based services (as needed) in ways that are more likely to promote personalized and effective treatment of their condition. Developing and proposing strategies to help meet person-centered treatment goals and supporting the patient in using chosen strategies to reach person-centered treatment goals. Facilitating and providing social and emotional support to help the patient cope with the condition, SDOH need(s), and adjust daily routines to better meet person-centered diagnosis and treatment goals. Leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals.
G0146	Principal Illness Navigation — Peer Support, additional 30 minutes per calendar month (list separately in addition to G0140).

Remote therapeutic monitoring

CMS finalized several clarifications to remote therapeutic monitoring (RTM) and remote physiologic monitoring (RPM) policies, including:

• 16-day data collection minimums apply to RPM and RTM code families in CY 2024
• While RPM and RTM can be billed concurrently with carious care management services, RPM and RTM may not be billed together, so that no time is counted twice by billing for concurrent services

Evaluation and management visits

In the 2021 PFS final rule, CMS refined the office/outpatient E/M visit complexity add-on code:

HCPCS Code G2211— Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition or a complex condition. (Add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)

The Consolidated Appropriations Act, 2021 placed a moratorium on Medicare payment for HCPCS code G2211 that expires December 31, 2023. CMS finalized changing the status of the code, effective January 1, to make it separately payable by assigning the “active” status indicator. In addition, CMS finalized several refinements, including that HCPCS code G2211 would not be payable when the E/M visit is reported with payment modifier -25, indicating a separately billable E/M visit provided on the same day of a procedure or other service by the same practitioner.

CMS estimates G2211 will be billed with 38% of all E/M visits beginning January 1. Because of statutory budget neutrality requirements, making G2211 active will have a significant ripple effect across nearly all physicians. While primary care will see an increase in reimbursements, that increase will have to be offset by cuts to other specialties. The 3.4% decrease in the physician conversion factor includes a 2.18% negative budget neutrality adjustment, 2% of which is attributable to activating G2211.

CMS finalized a policy to revise the definition of the substantive portion of a split/shared E/M visit. The revised definition states the substantive portion is “more than half of the total time spent by the physician and NPP performing the split (or shared) visit, or a substantive part of the medical decision making.” This definition does not include critical care visits that use only time, not medical decision making. This finalized policy will go into effect in CY 2024 in response to public comment describing the administrative burden felt by facilities when time and resources must be spent preparing for policy changes that are delayed multiple times.

Payment for vaccine administration

CMS finalized continuing additional payments established during the COVID-19 public health emergency (PHE) for in-home COVID-19 vaccine administration, as well as extending the additional payments to the in-home administration of pneumococcal, influenza, and hepatitis B vaccines. Effective January 1, 2024, the in-home administration payment amount for all four vaccines will be identical.

Expanding behavioral health payment

Section 4121 of the Consolidated Appropriations Act, 2023 (CAA, 2023) provides for Medicare Part B coverage and payment for services of marriage and family therapists (MFTs) and mental health counselors (MHCs) when billed. CMS will implement this change in 2024, finalizing that MFTs and MHCs be allowed to enroll in Medicare after the final 2024 PFS rule is published.

CMS finalized an updated descriptor to HCPCS code G0323 to reflect these changes. The updated descriptor reads: “Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (These services include the following required elements: Initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by Medicare to prescribe medications and furnish E/M services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team.)”

CMS also finalized implementation of Section 4123 of the CAA, 2023, establishing new HCPCS codes for psychotherapy for crisis services provided on or after January 1, 2024. The newly created psychotherapy for crisis codes are:

HCPCS G Code	Descriptor
GPFC1	Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes
GPFC2	Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service)

Per the CAA, 2023, payment for these services will be 150% of the fee schedule amount for non-facility sites of service for each year for services identified by HCPCS code 90839 and any succeeding codes. The CAA, 2023 additionally includes a waiver of budget neutrality, so expected expenditures for these codes were not included when determining the budget neutrality adjustment for 2024 rate setting.

CMS additionally finalized its proposal to expand the providers allowed to bill for health behavior assessment and intervention services (CPT codes 96156, 96158, 96159, 96164, 96165, 96167, and 96168, plus any successor codes) to include clinical social workers, MFTs and MHCs, in addition to clinical psychologists. CMS believes that allowing a broader range of practitioners to bill for these services will lead to better integration of physical and behavioral health care.

Expanding Medicare payment for dental services

In the CY 2023 PFS final rule, CMS specified certain clinical cases where payment for dental services is permitted under both Medicare parts A and B. These cases involve conditions where the successful treatment of a covered procedure or treatment is inextricably linked to the treatment of dental conditions, such as infection. CMS finalized several technical changes to enhance the clarity of the regulation text, as well as additional policies to permit payment for dental services. In particular, CMS identified the following situations where dental services are inextricably linked to the success of covered treatments and as a result the dental exclusion would not apply:

• Chemotherapy when used in cancer treatment
• CAR T-Cell therapy when used in cancer treatment
• Antiresorptive therapy when used in cancer treatment

In February 2024, CMS will consider public submissions for clinical scenarios that are analogous to those already identified in which Medicare payment could be made for dental services. These submissions will be used to inform future rulemaking.

Medicare Part B drug payments

The Inflation Reduction Act included several provisions involving Medicare payment for drugs. CMS finalized conforming language, including limiting beneficiary spend for insulin to $35/month.

The 2023 Physician Fee Schedule finalized reporting requirements for single-dose container or single-use package drugs, including use of the JW modifier for reporting discarded amounts and JZ modifier to report drugs with no discarded amounts. CMS began editing for correct use of the modifiers October 1, 2023. However, because CMS believes it is unreasonable to require patients or caregivers self-administering drugs at home to provide data about discarded amounts, CMS finalized a requirement that drugs separately payable under Part B furnished by a supplier who is not administering the drug be billed with the JZ modifier.

Appropriate use criteria for diagnostic imaging

The Protecting Access to Medicare Act of 2014 created a program to increase the rate of appropriate advanced diagnostic imaging, such as PET and MRI scans, provided under Medicare. The program required that when an order was placed for an advanced diagnostic imaging service, the provider would be required to use an electronic portal to assess acceptable use criteria (AUC).

The program was set to be fully implemented on either January 1, 2023. In response, concerns including inappropriate denial of claims, increase of provider burden, and the potential for beneficiaries to be financially liable for services were raised by stakeholders. In addition, value-based care incentives, including the Quality Payment Program and the Medicare Shared Savings Program, as well as electronic clinical quality measures have accomplished many of the goals of the AUC program.

CMS finalized both pausing implementation of the AUC program and rescinding current program regulations.

Telehealth provisions

The final Medicare telehealth originating site facility fee is $29.96.

During the COVID-19 PHE, CMS used a three-category system for adding new services to the Telehealth Service List. Category one included services like those already on the list while Category two included services not like those already on the list but where there was significant evidence telehealth services would improve diagnosis or treatment. Category three was created to encompass services added to the list during the COVID-19 PHE with insufficient evidence to be included in Category two.

CMS finalized reverting to a two-category system for additions to the Telehealth Services List, designating additions as either permanent or provisional. Codes currently included in the Telehealth Services List under Categories 1 and 2 will receive the permanent designation, while those included in Category 3 will be designated “provisional.” CMS also finalized new steps for analysis of services under consideration for addition, removal, or change in status on the Medicare Telehealth Services List:

• Step 1 — Determine whether the service is separately payable under the PFS.
• Step 2 — Determine whether the service is subject to the provisions of section 1834(m) of the act.
• Step 3 — Review the elements of the service as described by the HCPCS code and determine whether each of them is capable of being furnished using an interactive telecommunications system as defined in code section 410.78(a)(3).
• Step 4 — Consider whether the service elements of the requested service match the service elements of a service on the list that has a permanent status described in previous final rulemaking.
• Step 5 — Consider whether there is evidence of clinical benefit analogous to the clinical benefit of the in-person service when the patient, who is located at a telehealth originating site, receives a service furnished by a physician or practitioner located at a distant site using an interactive telecommunications system.

Codes added to the Telehealth Services List on a temporary basis for 2024:

• CPT code 0591T (Health and well-being coaching face-to-face; individual, initial assessment)
• CPT code 0592T (Health and well-being coaching face-to-face; individual, follow-up session, at least 30 minutes)
• CPT code 0593T (Health and well-being coaching face-to-face; group — 2 or more individuals, at least 20 minutes)

CMS finalized the addition of HCPCS code G0136 (administration of a standardized, evidence-based Social Determinants of Health Risk Assessment tool, 5 – 15 minutes) to the Medicare Telehealth Services list permanently.

Telehealth provisions in the Consolidated Appropriations Act, 2023

The CAA, 2023 included several provisions that affect telehealth policies finalized in the 2023 final rule, including:

• Delaying the requirement for an in-person visit with a physician or practitioner within six months prior to the initial mental health telehealth service, and again at subsequent intervals as the secretary finds appropriate. The in-person requirements will be effective on January 1, 2025.
• Expanding telehealth originating sites for any service on the Medicare Telehealth Services List to include any site in the U.S. where the beneficiary is located at the time of the service, including an individual’s home, through December 31, 2024.
• Requiring that qualified occupational therapists, physical therapists, speech-language pathologists, and audiologists continue to be included as telehealth practitioners through December 31, 2024. In addition, marriage and family therapists and mental health counselors will be recognized as telehealth practitioners effective January 1, 2024.

Place of service codes

During the COVID-19 PHE, many behavioral health services that would have been provided in person were provided via telehealth. This increase in utilization has been maintained even after the end of the PHE, and many practitioners maintain both office and telehealth visits — meaning their practice expenses are more like the non-facility rate.

As a result, CMS finalized that claims billed with POS 10 (Telehealth Provided in Patient’s Home) will be paid at the non-facility PFS rate starting in CY 2024. Claims billed with POS 02 (Telehealth Provided Other than in Patient’s Home) will maintain the PFS facility rate beginning January 1, 2024.

Removing frequency limitations on telehealth subsequent care services

When certain services were added to the Telehealth Services List in the past, the addition included frequency limitations to restrict how often a service could be provided via telehealth. During the COVID-19 PHE, these limitations were relaxed through December 31, 2023. CMS finalized removing telehealth frequency limitations during CY 2024 for the following codes:

CPT Code	Descriptor
99231	Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.
99232	Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.
99233	Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.
99307	Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.
99308	Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.
99309	Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.
99310	Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.

HCPCS Code	Descriptor
G0508	Telehealth consultation, critical care, initial, physicians typically spend 60 minutes communicating with the patient and providers via telehealth.
G0509	Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth.

Rural Health Clinics and Federally Qualified Health Centers

In addition to the updates detailed below, CMS finalized updates to reflect provisions in the CAA, 2023, including extending payment for telehealth services provided by RHCs and FQHCs through December 31, 2024, and delaying in-person requirements for mental health services provided via telehealth until January 1, 2025.

Updates to payment methodologies

CMS finalized including licensed marriage and family therapists or mental health counselors as RHC and FQHC practitioners effective January 1, 2024. To align enrollment policies, the finalized behavioral health policy allowing addiction, drug or alcohol counselors who meet all applicable requirements to register as Medicare-enrolled MHCs will also apply to RHCs and FQHCs.

CMS finalized allowing RHCs and FQHCs to receive payment for RPM and RTM in addition to RHC inclusive rates and FQHC per visit payments. RPM and RTM services may be billed using HCPCS code G0511, a general care management code.

To address increasing evidence that social determinants of health are key in successfully providing care to many populations, CMS finalized expanding the billable services under HCPCS code G0511 to include Community Health Integration and Principal Illness Navigation services. HCPCS codes G0019, G0022, G0023, and G0024, as described above, will be included in HCPCS code 0511 in 2024. CMS clarified that RHCs and FQHCs may bill G0511 multiple times in a calendar month, provided all requirements for each service are met

Medicare Shared Savings Program

CMS finalized several modifications to the Shared Savings Program, including:

• Revising quality reporting and performance requirements, including updating the APP measure set for Shared Savings Program Accountable Care Organizations (ACO), revising the health equity adjustment underserved multiplier calculation, and requiring Spanish language administration of the CAHPS for MIPS survey
• Revising policy for determining beneficiary assignment, including modifying the step-wise beneficiary assignment methodology
• Revising policies on benchmarking methodology, including modifying the calculation of the regional update factor used when updating the historical benchmark between benchmark year three and the performance year to provide more equitable treatment for ACOs
• Refining advance investment payment policies, including modifying AIP eligibility requirements to allow an ACO to choose to advance to a two-sided model level beginning with the third performance year of the five-year agreement in which the ACO received AIPs, as well as modifying termination policies to specify that AIPs would immediately terminate if an ACO voluntarily terminates from the Shared Savings Program
• Updating Shared Savings Program eligibility requirements, including removing the option for ACOs to request a shared governance requirement exception

Quality Payment Program

In response to public comment, CMS finalized maintaining the performance threshold for all three MIPS reporting options at 75 points but will continue to consider raising the threshold in future rulemaking.

MIPS Value Pathways

CMS finalized five new MIPS Value Pathways:

• Focusing on Women’s Health
• Prevention and Treatment of Infectious Disease, including Hepatitis C and HIV
• Quality Care in Mental Health and Substance Use Disorders
• Quality Care for the Treatment of Ear, Nose, and Throat Disorders
• Rehabilitative Support for Musculoskeletal Care

In addition, CMS finalized revisions to several aspects of all MIPS pathways, including but not limited to quality measures, cost performance, and MIPS payment adjustments.

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