MPFS
Medical abbreviation · Health Insurance
| Stands for | Medicare Physician Fee Schedule |
|---|---|
| Categories | Medical |
MPFS stands for Medicare Physician Fee Schedule, a health insurance abbreviation.
List of payment amounts Medicare uses to pay physicians and other practitioners for more than 10,000 services, calculated from relative value units, geographic adjustments and an annual conversion factor. Many private insurers and state programs base their own rates on it.
Example: Our commercial contract pays 140% of the MPFS for office visits.
Usage notes
CMS publishes proposed and final MPFS rules each year, usually in July and November. Budget-neutrality requirements mean increases for some services reduce payments for others. Telehealth flexibilities and changes to evaluation and management coding have been major recent topics.
Related abbreviations
More health insurance abbreviations
- MAPD – Medicare Advantage Prescription Drug plan
- MCO – Managed care organization
- MEC – Minimum essential coverage
- MIPS – Merit-based Incentive Payment System
- MLR – Medical loss ratio
- MOOP – Maximum out-of-pocket
- MS-DRG – Medicare Severity Diagnosis-Related Group
- MSP – Medicare Savings Program
- NCCI – National Correct Coding Initiative
- NCD – National coverage determination
- NCQA – National Committee for Quality Assurance
- NPI – National Provider Identifier
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This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.