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2022 and You
Welcome! This page will give you everything you need to know for 2022 – what’s new, what’s changing, and what’s coming.
2022 fees
Our fee schedule lookup tool will give you the specific reimbursement information you need.
Helpful fee schedule resources:
2022 enrollment application fee
The application fee is $631 for institutional providers who are:
Initially enrolling
Revalidating their enrollment
Adding a new practice location
2022 deductible information
Part A – hospital insurance
Deductible: $1,556
Coinsurance:
$389.00 a day for days 61 through 90
$778.00 a day for days 91 through 150 (lifetime reserve days)
$194.50 a day for days 21 through 100 (skilled nursing facility coinsurance)
Part B – supplementary medical insurance
Standard premium: $170.10 a month
Deductible: $233 a year
Coinsurance: 20%
2022 annual update of per-beneficiary threshold amounts
The updates to the annual per-beneficiary incurred expenses amounts are now called the KX modifier thresholds.
Amounts are:
$2,150 for physical therapy and speech-language pathology services combined
$2,150 for occupational therapy services
View MLN Matters article MM12470 external pdf file
2022 anesthesia conversion factors
USVI
2022 therapy code list
View MLN Matters article MM12446: external pdf file 2022 annual update to the therapy code list.
2022 Final Rule
View MLN Matters article MM12519: external pdf file Summary of policies in the calendar year (CY) 2022 Medicare Physician Fee Schedule (MPFS) Final Rule, telehealth originating site facility fee payment amount and telehealth services list, CT modifier reduction list, and preventive services list
2022 amount in controversy (AIC) for appeals
The AIC for appeals filed on or after January 1, 2022:
Administrative law judge hearing (ALJ) remains the same at $180
Federal district court remains the same at $1,760
2022 educational events
Check out our packed events calendar to register for one of our valuable, expert-led webinars.
Want to get involved and have a say? Learn how to join the Provider Outreach and Education Advisory Group (POE-AG).
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.