Event
November 8, 2022
1:00 pm to 3:00 pm CST
Location
Tennessee Room Nashville TN 37243 220 French Landing Drive, 1-A or call in: (629) 209-4396 ID: 697 582 701#
Contact
Public rulemaking hearings allow all interested persons (or their representatives) an opportunity to present facts, views or arguments relative to the proposal under consideration. These can also be put in writing.
Anticipated Impacted Stakeholders
Medical providers, Payers
Notice(s) of Rulemaking Hearing(s)
Summary of Proposed Changes
As part of its annual fee schedule review for 2022, the Bureau partnered with FAIR Health to assist the Bureau in the analysis of our fee schedules. The medical fee schedule will continue to set a maximum reimbursement rate. Billing below this rate and payment contracts will continue to be allowed. Medicare will continue to be the basis of the fee schedule for all outpatient and professional fees. FAIR Health will make available to Tennessee stakeholders, on behalf of the Bureau, rate tables that will have a complete listing of all maximum allowable reimbursements according to the rules. The rate tables include rates for codes valued by Medicare as well as rates gap-filled for many services that are not priced by Medicare but have a formula in our rules. This should eliminate almost all calculations, confusions, and reduce the number of questions and the number of disputes that would go to the Medical Payment Committee. There will be no cost to Tennessee stakeholders for a copy of the tables. These tables will be an appendix to the rules.
Comments on the proposed changes can be sent to amanda.terry@tn.gov by November 22, 2022 at 4:30pm (Central).