The Ups and Downs of the 2016 Medicare Physician Fee Schedule
On October 30, 2015, the first Medicare Physician Fee Schedule (MPFS) final rule since the repeal of the Sustainable Growth Rate formula by the Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015 was released. It was officially published in the Federal Register on November 16, 2015. The 2016 MPFS updated the payment policies that apply to services furnished by qualified healthcare professionals (QHPs) in all sites of service. Because of the updated policies, QHPs who specialize in wound care will experience some ups and downs in their 2016 Medicare allowable rates. Let’s take a look at how some of these 2016 national average Medicare allowable rates, for common wound care services that QHPs perform in their offices and in facilities, compare with the 2015 allowable rates. As you read the following MPFS allowable rate comparison tables, please note that the 2016 allowable rates that increased are identified with bold font.