2014 Physician Medicare Fee Schedule Spreadsheet

The Ohio State Medical Association (OSMA) recently reported that at the end of last year President Obama signed a funding bill that included the Pathway for SGR Reform Act of 2013, which provides a short-term reprieve from a looming Medicare physician fee schedule cut while lawmakers work to finalize a longer-term solution for the Medicare Sustainable Growth Rate (SGR).

CGS, Ohio’s Medicare Part B provider, has compiled the 2014 Physician Medicare Fee Schedule in an easy-to-read spreadsheet, organized by CPT code. It is important for physicians to remember that the final Medicare physician fee schedule rule, which was published on Dec. 10, 2013, called for a 20.1 percent reduction in the fee schedule update for 2014, largely as a result of the statutory sustainable growth rate (SGR) formula. The Pathway for SGR Reform Act blocks the 20.1 percent cut and replaces it with a 0.5 percent increase for services provided through March 31, 2014 (note that Medicare sequestration cuts applicable to the MPFS and other Medicare payment systems continue).

This temporary payment boost is intended to provide Congress with additional time to finalize pending legislation that would permanently repeal the SGR policy and replace it with a period of stable payment followed by reimbursement linked to quality of care. Bipartisan SGR reform bills have been overwhelmingly approved by the Senate Finance Committee, the House Ways and Means Committee, and the House Energy and Commerce Committee, but differences in the measures must still be resolved and spending offsets need to be identified.

The OSMA will continue to monitor progress regarding the Medicare SGR and Physician Fee Schedule closely and report pertinent information via our website, OSMA community and OSMA This Week.

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