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?