ABSTRACT

Introduction The Medicare Physician Fee Schedule (MPFS) is one of the oldest fee schedules in use today. It is also one of the most complex payment systems and is used for a variety of other services provided in different settings. For instance, the MPFS covers most Current Procedural Terminology (CPT®) codes, including services provided by physical therapists and occupational therapists. Also, this fee schedule is used to reimburse independent diagnostic testing facilities (IDTFs) along with service in a comprehensive outpatient rehabilitation facility (CORF). In turn, a modified form of the CORF fee schedule is used for critical access hospital (CAH) reimbursement under Method II.* Even ambulatory surgery centers (ASCs) under Medicare are reimbursed partially through the MPFS.