tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Who Has the Most to Gain or Lose Under E/M Changes?

See if your specialty is in the top 5 winners. Medicare practices should prepare now for the 2021 rollout, especially if relative value unit (RVU) changes to E/M office/outpatient visits translate to fiscal shortfalls. Details: The Calendar Year (CY) 2020 Medicare Physician Fee Schedule (MPFS) final rule — published in the Federal Register on Nov. 15 — outlines the Centers for Medicare & Medicaid Services’ (CMS) plans to update RVUs for CPT® codes 99202-99215 starting in 2021. Though the changes won’t go into effect until next year, CMS offers a 2020 glimpse at what it expects the American...

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