November 07, 2024

Updates from Centers for Medicare and Medicaid Service

CMS has provided 4 updates


Physician Fee Schedule CY 2025 Final Rule

Learn about the CY 2025 Physician Fee Schedule final rule.

More Information:


Respiratory Viruses: Get Up to Date on Flu, COVID-19, & RSV Vaccines

Immunize against flu, COVID-19, and respiratory syncytial virus (RSV)—it’s the best way to protect patients against severe disease (see CDC). Make sure your patients know about their risk, and recommend vaccines to protect them.

Medicare Part B covers:

Find out when your patient is eligible for these vaccines. If you need help, contact your eligibility service provider.

Medicare drug coverage (Part D) covers the RSV vaccine; it’s not covered by Part A or Part B. See Medicare Part D Vaccines (PDF).

People can get vaccines for the flu, COVID-19, and RSV at the same time. For example, when your patients get their annual flu vaccine, they can get the latest COVID-19 vaccine plus an RSV vaccine, if they’re eligible and have never been vaccinated against RSV.

Get resources for your patients from the Risk Less. Do More campaign, including fact sheets, digital banners, and social media messages.

More Information:


Diabetes: Recommend Preventive Services

In 2022, 26% of Medicare Fee-for-Service patients had diabetes with rates varying by sociodemographic characteristics and geographic areas (see data snapshot (PDF)). During National Diabetes Month, talk with your patients about their risk factors and recommend services to prevent, detect, and treat diabetes.

Medicare pays for:

Find out when your patient is eligible for these services. If you need help, contact your eligibility service provider.

More Information:


Medicare Provider Compliance Tips — Revised

Learn what’s changed. CMS updated the improper payment rate and denial reasons for the 2023 reporting period and added new tips about:

  • Orthopedic Footwear
  • Permanent Cardiac Pacemaker Implant
  • Suction Pumps
  • Wheelchair Seating