decisionhealth Newsletters, Coder Pink Sheets - 2020 Issue 9 (September)
Proposed physician fee schedule: Proposed RVUs give, physician conversion factor takes away
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Article Overview
This article explains how proposed 2021 Medicare physician fee schedule changes may affect payment for selected office visits and procedure codes in anesthesia, interventional pain management, and pain management settings. It is useful for physicians, coders, practice managers, and medical society staff who want to assess reimbursement impact, compare proposed relative value changes, and understand the comment process for the proposed rule.
Why This Topic Matters
The proposed fee schedule can change Medicare revenue for commonly billed services, especially in specialties that rely on frequent procedures and evaluation and management visits. Understanding the scope of the proposed changes helps practices estimate financial impact and decide whether to submit comments or support a society letter.
Article Sections
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Payment impact overview
Introduces the proposed Medicare fee schedule update and explains that the article compares current and proposed payment results for selected services. It also frames the discussion around physician specialties affected by the changes.
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Non-facility services — Anesthesiology, interventional pain management and pain management
Summarizes proposed payment changes for selected non-facility services across the named specialties. The section focuses on comparing relative value units and fees across years.
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Facility services — Anesthesiology
Summarizes proposed payment changes for selected facility-based anesthesiology services. The section compares current and proposed values for commonly billed procedures.
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Comment or co-sign a medical society’s letter
Describes the public comment opportunity and the role of medical societies in responding to the proposed rule. It also outlines general steps for preparing feedback.
What You Will Learn
- How the proposed 2021 Medicare physician fee schedule may affect payment for selected services
- Which broad service categories are highlighted in the non-facility and facility comparison charts
- How the article frames the relationship between relative value changes and the conversion factor
- What opportunities are mentioned for responding to the proposed rule
- Which specialties and practice settings are emphasized in the discussion
Who Should Read This
- Physicians
- Medical coders
- Practice managers
- Anesthesiology practices
- Pain management practices
- Medical society staff
Codes Discussed
Code Ranges Discussed
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