Reimbursement: CMS releases new conversion factors

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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 explains a CMS reimbursement update tied to the CAA and the revised conversion factors used in physician and anesthesia fee calculations. It is intended for coders, billers, and revenue cycle staff tracking Medicare payment changes, especially for evaluation and management and other commonly reported services. The article gives a high-level view of how the update affects payment patterns and points readers to accompanying payment files and charts for broader review.

Why This Topic Matters

Changes to conversion factors can alter expected Medicare reimbursement across many services, so coders and billing teams need to know when updated rates affect planning, charge review, and payment forecasting.

What You Will Learn

  • How CMS’s revised conversion factors affect Medicare payment updates
  • Which broad service categories are discussed in the reimbursement update
  • Why the article highlights changes in expected 2021 payment trends
  • How accompanying fee schedule and relative value materials are being used in the update review

Who Should Read This

  • Medical coders
  • Medical billers
  • Revenue cycle staff
  • Practice administrators
  • Physician office staff

Codes Discussed


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