Proposed cuts hit 38 of 40 high-utilization procedures, visits in CY2022

Why This Topic Matters

High-utilization Medicare services often drive a large share of claim volume and revenue, so proposed payment changes can affect many specialties at once. Understanding which commonly billed services are included helps organizations assess exposure and plan for the final rule.

Article Sections

1. Overview of CY 2022 proposed payment changes

   Introduces the CMS proposed physician fee schedule context and summarizes the overall direction of payment changes for commonly used services.

2. Impact on CY 2022 Payment for Selected Procedures

   Presents the high-utilization services chart comparing prior-year and proposed payment amounts across facility and non-facility settings. The section is centered on Medicare payment impacts for frequently billed procedures and visits.

3. Payment note and conversion factor explanation

   Provides brief footnotes explaining the basis for the payment comparisons and the conversion factor used for the proposed year.