CY 2027 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies (CMS-1848-P Display)

The American Association for Elder Care (AAEC) advocates for the inclusion of evidence-based home modifications as a Medicare-covered fall prevention intervention. They recommend establishing a pilot program, recognizing home safety assessments as billable preventive services, and incorporating home environment assessments into quality measures.

Kristen Prince, COO of Therapy First, opposes the proposed reduction in the Medicare conversion factor for CY 2027. She argues that the reduction, combined with rising operational costs, will create a reimbursement cut that threatens the viability of independently owned outpatient physical therapy practices, particularly in rural areas.

Physician Anesthesia Services, a small anesthesia group in Colorado, opposes the proposed decrease in the 2027 anesthesia conversion factor. They argue that the current Medicare rate is unsustainable due to rising costs and workforce shortages, and they request a comparative analysis of reimbursement across physician specialties.

Trilogy Health opposes the proposal to limit Remote Physiologic and Remote Therapeutic Monitoring (RPM/RTM) services to clinical staff employed directly by the practice. They argue that the change would restrict access to care for rural and underserved communities, disrupt established compliant programs, and remove a viable delivery model for technology-enabled monitoring.

Go Medical Billing LLC opposes the proposed conversion factor reduction and same-day payment reductions, arguing they will create unsustainable economic conditions for small practices due to rising administrative costs and denial rates. They request that CMS publish NCCI edit rationale in machine-readable form and provide a state-level impact table for small practices regarding geographic payment variations.

The commenter, an owner of a pediatric speech-language pathology private practice, supports the creation of the GSLPP HCPCS code but requests clarification on whether the 60-minute work time is a valuation metric or a minimum session requirement. They advocate for clear guidance to ensure that medically necessary sessions of varying lengths (e.g., 30 or 45 minutes) can be billed consistently.

The commenter, a clinic owner in South Alabama, opposes the proposed changes to pediatric speech therapy reimbursement (specifically code 92507). They argue that the proposed time breakdowns do not account for the intensive labor required for medically complex children and that reduced reimbursement rates would threaten the clinic's ability to stay in business.

A physician from an independent private gastroenterology practice opposes the proposed CY 2027 Medicare Physician Fee Schedule due to concerns that low reimbursement rates and high regulatory costs threaten the sustainability of independent practices. The commenter urges CMS to provide payment updates that reflect inflation and practice costs while preserving physician independence and patient access.

The commenter opposes the proposed 2027 Medicare Physician Fee Schedule, arguing that inadequate reimbursement rates will harm patient access and lead to practice consolidation. They specifically oppose the 50% payment reduction for modifier 25 E/M services, stating it undervalues physician work and creates unnecessary costs for patients.

A patient expresses opposition to the proposed 2027 CMS rule, citing concerns that it will lead to longer wait times, reduced one-on-one time with doctors, and the potential closure of independent physician practices. The commenter argues that the rule threatens their access to quality care from trusted physicians.