Physician Fee Schedule Update
On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS):
- Provided a 3.75% increase in MPFS payments for CY 2021
- Suspended the 2% payment adjustment (sequestration) through March 31, 2021
- Reinstated the 1.0 floor on the work Geographic Practice Cost Index through CY 2023
- Delayed implementation of the inherent complexity add-on code for evaluation and management services (G2211) until CY 2024
CMS has recalculated the MPFS payment rates and conversion factor to reflect these changes The revised MPFS conversion factor for CY 2021 is 34.8931. The revised payment rates are available in the Downloads section of the CY 2021 Physician Fee Schedule final rule (CMS-1734-F) webpage.
- COVID-19 Vaccines: CDC Long-Term Care Facility Toolkit
- MLN Web-Based Training: Complete Training & Save Certificates by January 31
- 2020 MIPS Extreme and Uncontrollable Circumstances Exception Application: Deadline February 1
- Extension of Medicare IVIG Demonstration through December 31, 2023
- Teaching Hospitals Receiving FTE Resident Caps Under Section 5506 of the Affordable Care Act
- Cervical Health: Medicare Covers Screening Services
- Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Codes 87811 and 87428
- 2021 Annual Update to the Therapy Code List
- Instructions to Medicare Administrative Contractors (MACs) on COVID-19 Emergency Declaration Blanket Waivers for Medicare-Dependent, Small Rural Hospitals and Sole Community Hospitals
- Quarterly Update to Home Health (HH) Grouper
- Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 27.1, Effective April 1, 2021
- Updating Calendar Year (CY) 2021 Medicare Diabetes Prevention Program (MDPP) Payment Rates
- Billing for Home Infusion Therapy Services on or After January 1, 2021 — Revised
- Telehealth Expansion Benefit Enhancement under the Pennsylvania Rural Health Model (PARHM) – Implementation — Revised
