New ACOI Member Resource: CY 2025 Medicare PFS Policy Changes

The ACOI reported on Nov. 6, 2024 publication of the Medicare Physician Fee Schedule rule that finalized a 2025 conversation factor of $32.35, a decrease of 2.83 percent from CY2024. That cut took effect on Jan. 1, 2025.  

The final rule includes several other Medicare policy changes that were the subject of ACOI comments to the Centers for Medicare and Medicaid Services. ACOI is providing its members with a resource that summarizes key provisions, including information about new billable services, including caregiver training and risk assessment and management of atherosclerotic cardiovascular disease.

Among the key payment policy changes summarized in the document include:

• Allowing the office/outpatient evaluation and management visit complexity add-on code G2211 to be reported by the same practitioner on the same day as an annual wellness visit, vaccine administration, or any Medicare Part B preventive service.
• Allowing teaching physicians to have a virtual presence for purposes of billing for services furnished involving residents through Dec. 31, 2025.
• Medicare payment for caregiver training for direct care services and support.
• Medicare payment for an Atherosclerotic Cardiovascular Disease risk assessment service and risk management services.
• Medicare payment for a new set of Advanced Primary Care Management services.