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Medicare fee schedule now available online

September 23, 2010

The U.S. Centers for Medicare & Medicaid Services’ (CMS) Physician Fee Schedule Lookup Tool is designed to provide information on the payment rate for services by physicians and nonphysician practitioners under the Medicare Physician Fee Schedule (MPFS).

The Fee Schedule Lookup includes more than 10,000 physician services, the associated relative value units, a fee schedule status indicator, and various payment policy indicators needed for payment adjustment.

With the Fee Schedule Lookup, the user can find not only the national unadjusted payment rate for each service, determined by multiplying the total relative value units assigned to the service by the appropriate conversion factor, but also the geographically adjusted payment rates for each payment locality.

The CMS has now updated and enhanced the Fee Schedule Lookup to allow the user to:

  • Download search results into a comma-separated values (CSV) file;
  • Modify search criteria without starting over;
  • Search on all available types of information at the same time (pricing information, payment policy indicators, relative value units, and Geographical Practice Cost Index); and
  • Sort and view results table columns in ascending or descending order.

The Medicare Physician Fee Schedule Lookup Tool can be accessed at www.cms.gov/apps/physician-fee-schedule/overview.aspx.

‘How to Get Started’ eRx Web page launched

The Centers for Medicare & Medicaid Services (CMS) announced a new “How To Get Started” section on its Electronic Prescribing Incentive (eRx) program Web page.

The new section page can be found on the CMS Web site at www.cms.gov/ERxIncentive/03_How_To_Get_Started.asp.

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