decisionhealth Newsletters, Coder Pink Sheets - 2021 Issue 2 (February)
2021 Medicare fees: CMS boosts conversion factor for 2021 fee schedule by nearly 8%
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Article Overview
This article reviews changes to 2021 Medicare physician payment updates after Congressional action altered the final fee schedule. It is aimed at physicians, coders, billers, and revenue cycle staff who need to understand how the revised conversion factor and related policy changes affect Medicare professional fees across selected evaluation and management services and procedures.
Why This Topic Matters
Understanding these fee schedule changes helps coding and billing teams anticipate Medicare reimbursement shifts, monitor impacted service lines, and prepare for year-to-year payment changes under the updated physician fee schedule.
Article Sections
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Medicare fee schedule update and conversion factor change
Introduces the revised 2021 Medicare physician fee schedule and summarizes how the updated conversion factor changed expected reimbursement trends.
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Impact on office visit and procedure payments
Discusses how the revised payment update affected common evaluation and management services and selected procedures, including changes in relative payment direction across service types.
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Legislative provisions affecting 2021 physician fees
Summarizes the broader Medicare payment provisions included in the year-end federal appropriations legislation that influenced physician fee schedule payments and related policy timing.
What You Will Learn
- How the 2021 Medicare physician fee schedule was revised after Congressional legislation
- What types of services were most affected by the updated payment environment
- Which broader Medicare payment policy changes accompanied the 2021 update
- How the conversion factor fits into physician fee schedule reimbursement changes
Who Should Read This
- Physicians
- Medical coders
- Medical billers
- Revenue cycle staff
- Practice administrators
- Healthcare reimbursement professionals
Codes Discussed
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