BC Advantage - 2020 Issue 12
FINAL RULE FOR PHYSICIAN FEE SCHEDULE AND OTHER MEDICARE POLICIES POSTED
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Article Overview
This article summarizes major CMS final rule changes affecting the 2021 Medicare Physician Fee Schedule. It is aimed at physicians, coders, billers, auditors, and practice managers who need a high-level view of payment updates, office/outpatient E/M revisions, telehealth category changes, and other Medicare policy areas referenced in the rule.
Why This Topic Matters
The rule affects how practices prepare for Medicare payment and reporting changes beginning in 2021. It is especially relevant for organizations that bill office/outpatient E/M services, telehealth services, and other Medicare-covered services impacted by CMS policy updates.
Article Sections
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Conversion Factor
Summarizes the Medicare physician fee schedule payment update and the broader reimbursement context discussed in the rule.
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E/M
Reviews the final rule’s office/outpatient evaluation and management changes, including documentation and visit-level selection topics.
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Telehealth
Explains the telehealth policy update framework and the article’s overview of categories and service groupings covered for 2021.
What You Will Learn
- What CMS included in its final rule for the 2021 Medicare Physician Fee Schedule
- Which broad payment and policy areas were highlighted in the article
- How the article frames the changes affecting office/outpatient E/M and telehealth coverage
- Which additional Medicare policy topics are mentioned as part of the final rule package
Who Should Read This
- Medical coders
- Billers
- Auditors
- Physicians
- Practice managers
- Healthcare consultants
Codes Discussed
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