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You've heard by now of the momentous changes coming to your office-based E/M codes in 2021. And perhaps you caught wind of accompanying payment updates. But just how game-changing are the new payments?
 
CMS has painful plans for the somatic nerve block family of codes next year. Proposed cuts to work and other relative value units (RVUs) will result in lower pay for most codes in the 64400-64450 range, DecisionHealth analysis of the proposed 2020 Medicare physician fee schedule reveals.
 
You can dismiss a lot of the controversial updates to office E/M services, such as blended payment rates, that drew an outcry from the medical community. But you’re now on the clock to get in line with far-reaching documentation changes for these oft-used services, according to the 2020 proposed Medicare physician fee schedule released today.
 
The good news: You may be due for additional reimbursement retroactive to Jan. 1. The merely OK news: You’ll have to check your claims and ask your Medicare administrative contractor (MAC) for an adjustment. The not great but could be worse news: You may owe your MAC money on some claims, but it’s just a few cents per claim.

'Tis the season to stretch our gaze ahead to the new year -- and the new or revised Part B policies just days away from making a real impact on your bottom line.

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