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2023 Medicare Physician Fee Schedule Tool (Facility and Non-Facility)

Member Tool - December 14, 2022

Benchmarking & Forecasting

Reimbursement

Data Analytics & Reporting

2023 Medicare Physician Fee Schedule Tool (Facility and Non-Facility)Editor’s note: This tool was updated in January 2023 following MGMA advocacy to pass legislation to avert some of the 2023 Medicare pay rate cuts.

The 2023 Medicare Physician Fee Schedule Tool (Facility and Non-Facility) is designed to output the Medicare fee schedule based on data from the 2023 final rule. [Click here for MGMA’s member-benefit analysis of the final rule.]

The tool allows you to select your locality and view what the proposed Medicare facility or non-facility reimbursement is projected to be. You can also enter a personalized percentage for providers who have contracts that are based on a percentage of Medicare, which will display in the column labeled “Non-Medicare Charges (based on above %).”

Medicare’s non-participating, non-facility charges and facility limiting charges are also listed.

This tool is part of the 2023 MGMA Medical Coding and Billing Toolkit, available for free to all MGMA members.

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About the Author

Andrew Hajde
Andrew Hajde CMPE
Director, Content & Consulting MGMA Englewood, Colorado
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