BC Advantage - 2021 Issue 1

Interview with Administrator of the Centers for Medicare & Medicaid Services (CMS), Seema Verma

BC Advantage (BCA): This most recent Physician Fee Schedule (PFS) final rule implemented the biggest cut to the Medicare conversion factor (-10%) since 2011. CMS stated that this is needed to comply with the budget neutrality provision because the PFS increases payment for E/M services in 2021. Specialties that primarily report E/M services will benefit, but specialties that don't (e.g., surgical specialties, anesthesia, radiology, etc.) will see a sharp reduction in Part B payment. Is this intended to help E/M-based specialties like primary care? Does this represent a long-term rebalancing of how Part B reimbursement is allocated...

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