While the Centers for Medicare and Medicaid Services (CMS) has not officially released it, the 2022 O&P Medicare fee schedule is expected to be increased by 5.1%, this is larger than any annual Medicare increase in the last 30 years.
The annual increase to the Medicare O&P fee schedule is based on the annual change to the Consumer Pricing Index for all urban areas (CPI-U) from June to June of the previous year adjusted by an annual productivity adjustment (MFPA). The CPI-U from June 2020 to June 2021 was 5.4%. While the MFPA has not officially been released for the 2022 DMEPOS Medicare fee schedule, the 2022 MFPA for ambulance services, which is based on the same statute as DMEPOS, is -0.3%. Assuming the DMEPOS MFPA for 2022 will be -0.3%, AOPA is confident that the net increase in the 2022 Medicare O&P fee schedule will be 5.1%.
AOPA is your strongest advocate and will continue to work to ensure fair and reasonable reimbursement for your valuable services. AOPA was instrumental in developing the legislation that tied the Medicare O&P fee schedule to the CPI-U more than 20 years ago and continues to work for you through efforts like the recent introduction of the Medicare O&P Patient-Centered Care Act.
Questions regarding the 2022 Medicare O&P Fee Schedule may be directed to Joe McTernan at jmcternan@AOPAnet.org or Devon Bernard at dbernard@AOPAnet.org.