decisionhealth Newsletters, Part B News - 2020 Issue 8 (August)
In E/M watershed year, most specialties projected to take a reimbursement bath
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Article Overview
This article reviews CMS’s projected 2021 reimbursement impacts under the physician fee schedule, with emphasis on how the redistribution affects different specialties. It is useful for physicians, practice managers, coders, and revenue cycle teams who need a high-level view of payment trend changes and specialty-level exposure. The discussion stays at the broad policy and specialty-impact level rather than detailing specific billing instructions.
Why This Topic Matters
Specialty-level payment shifts can affect budgeting, staffing, contract planning, and revenue forecasting across physician practices. Understanding the overall direction of CMS’s projected changes helps stakeholders anticipate where reimbursement pressure or improvement may occur.
What You Will Learn
- How CMS’s projected physician fee schedule changes affect specialty reimbursement
- Which specialties are projected to see the largest relative increases or decreases
- Why the 2021 payment year is being viewed as unusually significant for specialty impacts
- How broad reimbursement changes can create uneven effects across the physician community
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Revenue cycle teams
- Healthcare administrators
- Specialty group leaders
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