News and Publications

2020 Medicare rules continue stable fee schedule rates, reduce hospital supervision levels

November 5, 2019

On Friday, November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) issued the 2020 Medicare Physician Fee Schedule (MPFS) and 2020 Hospital Outpatient Prospective Payment System (HOPPS) final rules, setting important policies for radiation oncology.

ASTRO is pleased that the MPFS retained the existing treatment delivery and image guidance G Code freeze through 2020. ASTRO successfully advocated for this extension as the specialty transitions to value-based payment through the pending implementation of the RO Model.

In the HOPPS final rule starting in 2020, CMS extended existing general supervision requirements to all hospital outpatient therapeutic services, thereby reducing the supervision for radiation therapy services. ASTRO opposed such a broad reduction that could risk patient safety. The Agency noted that facilities and physicians have the flexibility to adhere to higher standards.

ASTRO has prepared detailed summaries on both the MPFS and HOPPS, which can be found here.