The CMS Proposed 2025 Physician Fee Schedule Explained

CMS has released the proposed 2025 Physician Fee Schedule  (PFS), the annual document that previews proposed changes to physician payment and other Medicare B services.  CMS uses the PFS to issue proposed updates to existing codes and use the best of research to shape additional ways to structure payment within the boundaries of its statutory authority.  Last year, for example, the PFS introduced the Community Health Integration and SDoH Risk Assessment codes.  This year, the most exciting news is about the introduction of three advanced primary care management codes. There are also some interesting changes for MSSP ACO, telehealth, and Value Pathway reporting. It’s a dense document, as usual, this year at 2,248 pages. Each year, MMI reads the proposed draft when it is released and captures the highlights for you. We’ve done the same this year and put it all together on this PPT summary.  

MMI Topnotes of the Proposed 2025 PFS – 09032024