5 Key Takeaways
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1
The CMS proposed 2027 Physician Fee Schedule includes payment reductions for same-day E/M visits associated with procedures like intravitreal injections.
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2
Under the proposal, same-day E/M services would be reimbursed at 50% of the higher-valued service, which would be paid at 100%.
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3
ASRS CEO Jill Blim criticized the proposal as a major reduction in reimbursement and expressed concern over CMS's request for information on modifier 25.
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4
CMS's proposal includes a decrease in conversion factors for both qualifying and nonqualifying APM participants, reflecting a broader trend of declining reimbursements.
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5
The proposed rule is set to take effect on January 1, 2027, after a public comment period and final rule publication.
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