Last week’s finalized 2.83% cut to the Physician Fee Schedule (PFS), which follows a series of payment reductions of recent years for rehab and therapy services for Medicare beneficiaries, is raising concerns about tightening access to such care in nursing homes, with physicians calling the situation unsustainable. For physicians, this particular cut in the PFS […]
American Medical Association
While prior authorization has a legitimate role in Medicare Advantage coverage, the practice has expanded to the point of negatively affecting care. This aspect of MA needs to be right sized, and likely through legislation, nursing home leaders said. About 90%-plus of physicians, including those serving nursing home patients, have said that one or more […]