What Does the New Physician Fee Schedule Rule Mean for Community-Based Organizations Offering Health and Wellness Activities?
Every year, the Department of Health and Human Services’ Centers for Medicare & Medicaid Services (CMS) issues a Notice of Proposed Rule Making for the Physician Fee Schedule (PFS) that defines services and reimbursement rates for physicians and other providers providing care to people with Medicare. As of Jan. 1, 2024, Medicare will reimburse for various services including Community Health Integration services, Social Determinants of Health risk assessments, and Principal Illness Navigation services.