CMS Releases 2016 Proposed Rule for Services Reimbursed Under the MPFS

July 15, 2015
Rick Gawenda

On July 15, 2015, the Centers for Medicare and Medicaid Services (CMS) released the 2016 proposed rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). This proposed rule does impact outpatient therapy services provided in the following settings:

  • Private Practice
  • Skilled Nursing Facilities
  • Outpatient Rehabilitation Facilities
  • Comprehensive Outpatient Rehabilitation Facilities
  • Home Health Agencies providing Part B Therapy Services
  • Hospital Outpatient Departments (excludes critical access hospitals)

Highlights of the proposed rule include the 2016 payment rate, 2016 PQRS program, and CPT codes used by PT and OT that CMS wants to review to see if they are “misvalued” and need to be updated.

In 2016, the proposed conversion factor would be

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  1. your rules and regulations page has nothing listed after 2012??? Is that because THERE ARE no changes or it’s just not updated?

    1. That is because I am placing everything under Current News with a Search feature to hopefully make it easier for people to find information.