BC Advantage - 2021 Issue 1
Better late than never: Stimulus bill saves pain of conversion factor cut, also delays G2211
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Article Overview
This article covers Medicare payment changes tied to the 2021 Physician Fee Schedule and the Consolidated Appropriations Act of 2021. It focuses on the updated conversion factor, the budget-neutrality context behind the change, and the temporary delay of a newly introduced HCPCS add-on code. The discussion is relevant to coders, billing teams, auditors, and practice leaders monitoring E/M-related payment policy and implementation timing.
Why This Topic Matters
Changes to the Physician Fee Schedule can alter payment amounts and affect how practices prepare for E/M reporting and revenue planning. This article helps readers understand the policy context behind the 2021 update and the postponed code implementation.
Article Sections
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2021 Physician Fee Schedule and conversion factor update
Covers the payment policy changes affecting the 2021 Medicare Physician Fee Schedule and the revised conversion factor. The section places the update in the context of budget neutrality and recent legislation.
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Moratorium on implementing HCPCS code +G2211
Discusses the delayed implementation of a new HCPCS add-on code and the broader policy response to concerns about timing and clarity. The section also references CMS commentary and general examples used to explain the agency’s position.
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Preparing for 2021 E/M
A brief closing promotional-style reference to related educational preparation for E/M changes.
What You Will Learn
- How late-2020 legislation affected 2021 Medicare physician payment policy
- Why the 2021 Physician Fee Schedule update mattered to practices
- What types of guidance CMS provided about a delayed HCPCS add-on code
- Which specialties and practice roles may be interested in the policy changes
Who Should Read This
- Medical coders
- Billers and reimbursement staff
- Practice managers
- Auditors
- Physician office administrators
- Compliance staff
Codes Discussed
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