On November 1, the Centers for Medicare & Medicaid Services (CMS) released its finalized 2023 Medicare Physician Fee Schedule (MPFS). Among other key updates summarized by CMS, the 2023 MPFS includes a reduction in the fee schedule conversion factor from $34.6062 to $33.0607, reflecting in part the expiration of the temporary 3% supplemental increase in fee schedule payments for CY 2022. The 2023 MPFS also implements updates relating to telehealth flexibilities that mirror components of the 2022 Consolidated Appropriations Act, including extension of certain telehealth flexibilities during the 151-day period following expiration of the COVID-19 Public Health Emergency (currently set to expire January 11, 2023, but subject to further extension). Beyond these updates, the 2023 MPFS includes details on updated coding and work RVUs/practice expense RVUs for Evaluation and Management (E/M) and other services, as well as updates to the Quality Payment Program and Medicare Shared Savings Program.