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Yesterday, the Centers for Medicare and Medicaid Services (CMS) released the 2021 Medicare Physician Fee Schedule (PFS) final rule. In the rule, the Agency finalized a significant budget neutrality adjustment arising from previously finalized policy changes to office and outpatient evaluation and management (E/M) codes. The result is a CY2021 physician payment conversion factor of $32.41, a decrease of $3.68 from the CY2020 conversion factor of $36.09. This amounts to a 10.2 percent payment cut for some specialties.
Citing the new exceptions to the Stark law regulations, ASNC and 15 other groups last week urged CMS to rethink the Appropriate Use Criteria Program.
In a final rule issued Nov. 20, the Trump Administration finalized changes to physician self-referral and anti-kickback rules that the Centers for Medicare and Medicaid Services (CMS) heralded as “historic” and as a move that will facilitate the Agency's push toward care coordination and innovative payment models across Medicare, Medicaid, and private plans.