2021 conversion factor gets 10% squeeze, E/M revisions remain on track

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes a key update to the final 2021 Medicare physician fee schedule and explains why the Medicare conversion factor changed for the year. It is relevant to physicians, practice managers, and medical coders who follow Medicare payment policy, E/M reimbursement, and annual fee schedule updates. The piece covers the general direction of the 2021 changes, the budget neutrality context, and the relationship to office visit E/M code updates without providing detailed coding instructions.

Why This Topic Matters

Medicare fee schedule updates can affect reimbursement across specialties and practices, so understanding the broad policy shift helps readers anticipate payment changes and prepare for annual coding and billing updates.

What You Will Learn

  • How the final 2021 Medicare physician fee schedule affected the Medicare conversion factor.
  • Why E/M office visit reimbursement updates were tied to broader Medicare payment changes.
  • What categories of Medicare payment policy changes were highlighted in the update.
  • Who may be impacted by the fee schedule revisions.

Who Should Read This

  • Physicians
  • Medical coders
  • Billing specialists
  • Practice managers
  • Revenue cycle staff
  • Healthcare administrators

Codes Discussed

Code Ranges Discussed


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