MGMA regulatory analysis: 2021 Medicare physician fee schedule

Washington Connection - AugustĀ 19, 2020

Medicare Payment Policies

Quality Payment Program

Federal Compliance

Aug. 13, 2020: MGMA developed a member-exclusive comprehensive analysis of the 2021 Medicare physician fee schedule proposed rule, which includes changes to the Merit-based Incentive Payment System (MIPS) and Alternative Payment Model policies. This resource includes a review of policy proposals that would:
  • Establish a conversion factor (e.g., the amount paid per relative value unit for each service) of $32.26;
  • Revise documentation, billing, and payment for Medicare E/M services;
  • Change Medicare Shared Savings Program quality reporting; and
  • Set performance criteria to earn a bonus and avoid a payment cut under MIPS.
MGMA will submit detailed comments to the Centers for Medicare & Medicaid Services (CMS) in response to the proposed rule. The final rule is expected this November or December.
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