Medicare Program: Hospital Outpatient Prospective Payment and ASC Payment Systems; Payment for Intensive Outpatient Services and Other Policies

Summary

Finalizes CY 2025 updates to the Physician Fee Schedule and other Medicare Part B policies, including relative value unit updates, coverage/payment clarifications, and Quality Payment Program changes.

Healthcare Implications

Impacts clinician billing and reporting systems that often embed AI‑assisted coding, documentation, and quality tracking. Outpatient digital health and remote monitoring programs should validate any code/payment changes.