Legislative Updates

CMS released finalized regulation for three 2018 Medicare payment rules

POSTED IN: Legislative Updates,

This week, the Centers for Medicare & Medicaid Services (CMS) released the finalized regulations for three different CY 2018 Medicare payment rules that impact emergency physicians.


  • Provides up to a 5% bonus on clinician’s final MIPS score based on patient acuity
  • Increases low volume exemption

Medicare Physician Fee Schedule

  • Did not finalize proposal that would have cut RVUs for Emergency Physicians
  • Will review future RUC recommendations before considering this in future rulemaking

Outpatient Payment System

  • Pulled back proposal to make ED throughput of psychiatric patients a reportable measure. The information will still be available on data.medicare.gov for research and officials but will not be on the website for the general public.