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Part B News has examined the basics of the 2021 physician fee schedule proposed rule that was released on August 4, and we'll have plenty more analysis and guidance on the topic in the days to come. Meanwhile, here are some reflections on different parts of the rule by some of Part B News' stable of experts. ​
 
You can expect to see wild swings to Medicare pay rates in 2021, according to proposals CMS released this morning. The agency announced a nearly 11% cut to the Medicare physician fee schedule’s conversion factor (CF), dropping it to a rate of $32.26 next year, down from $36.09 in 2020.
 
Influencing the substantial decrease to the CF are the projected pay increases to the core set of E/M office visit codes (99202-99215). CMS confirmed that the E/M office visit codes remain on track for their first major overhaul in 25 years, according to the proposed 2021 Medicare physician fee schedule.
 

If the news that Medicare will cover acupuncture for chronic low back pain piqued your interest, review the guidelines for dry needling and acupuncture codes.

CHICAGO, Nov. 20 - After several sessions covering the historic E/M code changes moving closer to reality, some audience members here at the CPT and RBRVS 2020 Annual Symposium had pointed questions for CMS officials about the billions of dollars potentially on the move under the physician fee schedule in 2021. 
CMS scaled back many of the proposed changes to chronic and transitional care management services (CMS), but a few made it to the final rule. Next year you’ll have an add-on code for chronic care management code provided by clinical staff and two codes for management of a single high-risk condition.

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