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08/17/2020
In the wake of CMS’ plan to cut the Medicare physician fee schedule conversion factor (CF) by 11% in 2021, a host of specialty societies and advocacy organizations are leading calls for federal intervention.
08/17/2020
You won’t find any deviations or sidesteps from the planned changes coming to the E/M office visit code set (99202-99215), after CMS confirmed them in the proposed 2021 Medicare physician fee schedule. That means you can mark your calendar now: The largest overhaul to E/M coding and documentation guidelines in 25 years will go live Jan. 1, 2021.
08/17/2020
To understand the significance of the E/M updates contained within the proposed 2021 Medicare physician fee schedule, Part B News touched base with revenue cycle and practice management specialist Cathy Archuleta, CPC, manager with SunStone Consulting in Harrisburg, Pa.
08/17/2020
The Quality Payment Program (QPP) is slated to retrench slightly due to COVID-19, but take note of several big news items: You’ll find a new reporting scheme for MIPS Alternate Payment Models (APM), a smaller-than-expected rise in the overall performance threshold and several telehealth innovations.
08/17/2020
Coders will have a small set of new procedure codes to juggle while they adjust to the new system for coding E/M office visits. Here are some highlights gleaned from the proposed 2021 Medicare physician fee schedule. See the chart, p. 10, for a preview of projected payments based on the proposed relative value units (RVU) and conversion factor.
08/17/2020
CMS is giving providers in the Shared Savings Program a potentially problematic new quality reporting mechanism and a two-strikes policy for underperformers.
08/17/2020
The extraordinary redistribution of allowable fees within the physician fee schedule is on pace to produce some crooked numbers in 2021. The payment outlook appears grim for a number of specialties whose reimbursement on top codes CMS proposes to reduce dramatically. Yet some specialties will still see gains.

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