tci Part B Insider - 2020 Issue Q4

Part B Reimbursement: Feds Push Back MIPS Value Pathways to 2022

Expect more focus on APMs next year. The pandemic’s impact on Medicare policy over the last nine months can’t be denied. So it should come as no surprise that the feds’ 2021 Quality Payment Program (QPP) proposals are relatively tame compared to those in past years. Context: In its calendar year (CY) 2021 Medicare Physician Fee Schedule (PFS) proposed rule, the Centers for Medicare & Medicaid Services (CMS) focus heavily on CMS’ plans to extend the COVID-19-inspired telehealth expansion beyond the public health emergency (PHE). The agency also finalized its office/outpatient E/M policy updates — juxtaposed with...

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