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Understanding the impact of the Medicare Physician Fee Schedule on your practice

By ION

The final 2025 Medicare Physician Fee Schedule (MPFS) was released in November and the new estimated conversion factor of $32.35 was announced. As a practice, you need to plan on how this change will impact your revenue in the coming year. InfoDive® reports can show how the changes will impact each CPT Code for your Medicare patient volume.


Here's how InfoDive can help your practice:

  • InfoDive provides detailed reports that can help you assess the changes to each CPT code based on your Medicare patient volume. You can compare the 2024 and 2025 MPFS for each CPT code, and see the breakdown of how different components of the RVU (Relative Value Unit) have been adjusted.
  • If your practice participates in the MIPS (Merit-based Incentive Payment System) program, InfoDive allows you to explore the impact of MIPS adjustments (which can vary up to +/- 9.0%) and sequestration on your practice's reimbursement rates.
  • The impact of these changes will differ by specialty. InfoDive can help you assess how the mix of services you provide, as well as the RVUs associated with those services, will be affected.

If you’re interested in learning more about how InfoDive could help you understand and manage the financial impact of these changes, or if you have questions, please reach out to your account manager or email info@intrinsiq.com.