Navigating CMS’ 2025 PFS Final Rule: Strategies for Success

Value-Based Care Insights New Episode NOW On-Demand

The Physician Fee Schedule (PFS) Final Rule for Calendar Year (CY) 2025 introduces several key updates to Medicare payment policies, aiming to enhance care delivery and reduce administrative burdens. On this episode, Dan is joined by Managing Partner, Lucy Zielinski, and Sarah Hartley, to explore the implications of the PFS Final Rule on physicians and other billing professionals. Together, they discuss the key changes and opportunities for physician services furnished in various settings including physician offices, hospitals, ambulatory surgery centers (ASCs), and others. Tune in to stay informed and gain valuable perspectives on navigating these critical regulatory updates.

Key Takeaways:

  • With Medicare payment rates decreasing by an average of 2.9%, providers should prepare for the financial impact to their bottom line.
  • Payment coverage has expanded and new codes have been established for caregiver training, advanced primary care management services, and complex conditions.
  • Certain telehealth services will continue to be covered, and the Rule allows for more flexibility in telehealth delivery.

About The Show
Value-Based Care Insights is a radio show on Healthcare NOW Radio, that explores how to optimize the performance of programs to meet the demands of an increasing value-based care payment environment. It is hosted by Dan Marino (@DjmarinoHD) and highlights recognized experts in the field and within Lumina Health Partners (@LuminaHP).

Tune in weekdays at 5:00am, 1:00pm and 9:00pm ET.

Follow the Social Hashtag at #VBCInsights.