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Congress Removes Physician Fee Schedule Cuts

Congress Removes Physician Fee Schedule Cuts December 22, 2020

Congress has waived the budget neutrality requirement that would have resulted in a 10% conversion factor cut outlined in the 2021 Medicare Physician Fee Schedule Final Rule and instead mandated a 3.75% increase.  This change is part of the Consolidated Appropriations Act (CCA) of 2021 legislation released today.  This will offer a much needed relief to providers.  President Trump is expected to sign the legislation.

Other notable provisions in the CCA include:

  • Delay of add-on code G2211 for inherently complex evaluation and management visits until 2024
  • Suspension of the 2% sequestration cut extended to March 31, 2021

There are additional Medicare provisions outlined in the CCA that we encourage providers to review.

The Act if located here:  https://rules.house.gov/sites/democrats.rules.house.gov/files/BILLS-116HR133SA-RCP-116-68.pdf

HBE’s team of coding and compliance experts is available to assist you with implementation of all of the 2021 changes, design and review of documentation templates, providing customized education and training for your staff, as well as auditing and monitoring,. We are also available to provide assistance with conducting risk assessments, internal investigations, charge description master reviews and policy and procedure development.

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