The CMS Proposed fee schedule was published yesterday, and it is not good news for medical practices. The proposed 2021 RVU conversion factor is $32.26 (down from $36.09, a reduction of $3.83 per RVU) and the 2021 National anesthesia proposed rate is $19.96 (down from $22.20, a reduction of $2.24 per CF). While 2020 continues to be our most challenging year to manage medical practices, 2021 may prove to be just as challenging. I am sure all specialty societies will be fighting hard for changes so watch your e-mail closely on how you can assist them in fighting for higher payment.
CMS is moving forward in revamping the outpatient evaluation and management service. It will be extremely important to learn the new coding guidelines in order to protect your revenue. They are continuing to allow advanced practice providers to operate at the top of their scope of practice allowed by state law and telehealth services will continue. There is also discussion regarding the teaching rules and involvement/monitoring requirements.
For the complete Proposed Rule click here: CY 2021 Physician Fee Schedule and Quality Payment Program Proposed Rule.
As always, we will continue to digest the information and let you know key information. If we can assist you with any coding, auditing, or compliance projects, please call. We would love to hear from you.