The CY 2021 Medicare Physician Fee Schedule Proposed Rule with comment period was placed on display at the Federal Register on August 4, 2020. CY 2021 Physician Fee Schedule Proposed Rule with Comment Period The calendar year (CY) 2021 PFS final rule is one of several rules that reflect a broader Administration-wide strategy to create a healthcare system that results in better accessibility, quality, affordability, empowerment, and innovation. This final rule also provides clarification to the implementation of Section 2005 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, which creates a new Medicare Part B benefit for Opioid Treatment Programs.
Additionally, this final rule includes several regulatory actions regarding professional scope of practice for certain non-physician practitioners. It also addresses direct supervision as it relates to interactive technology, payment for teaching physicians, and provides clarification on medical record documentation. It also adds services to the telehealth list including a third temporary category for services added under the PHE, as well as certain other revisions to telehealth services. This final rule updates policies affecting the calculation of payment rates and includes misvalued codes. This final rule updates payment policies, payment rates, and other provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after Jan. The CY 2021 Medicare Physician Fee Schedule Final Rule was placed on display at the Federal Register on December 2, 2020. CY 2021 Physician Fee Schedule Final Rule You don’t need to wait to submit your claims. The revised payment rates are available in the Downloads section of the CY 2021 Physician Fee Schedule final rule (CMS-1734-F) webpage.ĬMS is ready to process claims correctly and on time. The revised MPFS conversion factor for CY 2021 is 34.8931.
Delayed implementation of the inherent complexity add-on code for evaluation and management services (G2211) until CY 2024ĬMS has recalculated the MPFS payment rates and conversion factor to reflect these changes.Reinstated the 1.0 floor on the work Geographic Practice Cost Index through CY 2023.
Suspended the 2% payment adjustment (sequestration) through March 31, 2021.Provided a 3.75% increase in MPFS payments for CY 2021.On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): These notices can be viewed at the following link: On March 18, 2021, CMS issued an additional correction notice to the Calendar Year 2021 PFS Final Rule. On January 19, 2021, CMS issued a correction notice to the Calendar Year 2021 PFS Final Rule published on December 28, 2020, and a subsequent correcting amendment on February 16, 2021. Enf Instruction-split-shared-critical care-052521 FINAL (PDF) - Posted.Finalizes considerations for vaccine administration services.ĬMS Notice Regarding Split (or Shared) Evaluation and Management Visits and Critical Care Services from through December 31, 2021.Updates a payment regulation for Medical Nutrition Therapy services.Modifies payment for therapy services furnished in whole or in part by a Physical Therapist Assistant or Occupational Therapy Assistant.Finalizes recent changes to Evaluation and Management (E/M) visit codes, such as policies for split (or shared) E/M visits, critical care services, and services furnished by teaching physicians.Revises telehealth services under the Consolidated Appropriations Act, 2021 allows use of audio-only communications technology when furnishing mental health services in certain circumstances.See a summary of key provisions, effective on or after January 1, 2022: CMS issued the CY 2022 Medicare Physician Fee Schedule (PFS) final rule that updates payment policies, payment rates, and other provisions for services.