2024 “Updated Final” Medicare Fees

As you may have heard, federal legislation taking effect March 9, 2024 for the rest of 2024 included an update to the Medicare Conversion Factor (CF), which will affect reimbursement for Part B services including services provided by psychologists. I previously reported “final” fees that went into effect January 1, based on the CF reported …

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Mental Health Clinicians in Medicare

I’ve previously written about mental health and other specialties opting out of Medicare. Here’s a look at the number of mental health specialists in Medicare. Data are extracted from https://data.cms.gov/summary-statistics-on-provider-enrollment/medicare-provider-type-reports/cms-program-statistics-medicare-providers. The most recent year for which data are available is 2021. Psychiatry numbers include Geriatric + Neuropsychiatry + Psychiatry specialty designations. Psychology numbers include Clinical …

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2024 Final Medicare Fees

Relative Value Units (RVUs) became available 12/12/2023 which, along with the 2024 Conversion Factor (CF), allows calculation of the 2024 National Payment Amount (NPA) for all health care procedures reimbursed in Medicare. Here are the NPAs for the top ten services provided by psychologists, with a comparison to 2020-2023. Four services show increases from 2023-2024. …

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2024 Medicare Reimbursement For Psychological Services

2 November 2023:  The final 2024 Medicare Physician Fee Schedule (PFS) was announced by CMS today, with the final rule to be published in the Federal Register 11/16/23. The final 2024 Conversion Factor (CF) was set at $32.74, a decrease of $1.15 (-3.4%) from the 2023 CF of $33.89. (The proposed rule CF reported in …

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Medicare Opt Out Update

Source:  https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits/data      29,309 clinicians had opted out as of 1/1/23, 31,603 have opted out as of 9/15/2023 (7.8% increase). 12,556 mental health clinicians (Psychiatry, Clinical Psychologist, Clinical Social Worker) had opted out as of January 2023, 13,726 have opted out as of September 2023 (9.3% increase). 5,022 psychologists had opted out as …

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Who’s Opting Out Of Medicare? – Mental Health And Other Specialties

When I wrote about this in 2018, the trend was a decreasing rate of mental health clinicians opting out of Medicare, despite flattening reimbursement rates and other concerns. At that time, a total of 8,661 psychiatrists, psychologists, and clinical social workers had formally opted out, estimated to represent fewer than 2% of available mental health …

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Psychotherapy In Medicare – Update, The Second Pandemic Year

I previously reported about psychotherapy utilization in Medicare during the first pandemic year, 2020. Public use data have recently become available for 2021, allowing comparisons and perhaps some insights into psychotherapy in this very large population (62.6 million total enrollees in 2021). All psychotherapy provided For this analysis, only procedure codes reflecting 30, 45, and …

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How Much Do Therapists Charge? – 2023 Update

I first reported about mental health fees in 2013, and then again last year. The following update is based on all charges submitted to Medicare for these services in 2021 by psychiatrists, psychologists and social workers. In theory, charges to patients who have Medicare are likely to be the same as or very similar to …

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