E/M payment swings

The topic of E/M office visits drew lengthy attention and sparked multiple give-and-takes about the payment at the CPT and RBRVS 2020 Annual Symposium held Nov. 20-22 in Chicago.

Central to the E/M conversation was the potential impact of a massive redistribution of physician fee schedule funds in 2021 following pay increases to codes 99202-99215.

Because the nine office visit codes gaining a large pay raise comprise roughly 20% of Part B payments, the effect on other services could be drastic because CMS operates the fee schedule in a budget-neutral manner. All told, about $8 billion are expected to be in flux in 2021.

What do you think about E/M pay swings?

Read more: https://pbn.decisionhealth.com/Blogs/Detail.aspx?id=200836

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