HCPro, JustCoding Outpatient - 2020 Issue 30 (August)
2021 MPFS proposals: Review CPT coding and payment updates, new telehealth flexibilities
August 11th, 2020
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Article Overview
This article explains proposed Medicare Physician Fee Schedule changes for 2021, with emphasis on CPT and HCPCS code updates, telehealth flexibilities, and the broader payment impacts of office/outpatient E/M revisions. It is relevant to physicians, coders, billing staff, compliance teams, and specialty practices tracking CMS proposed rule changes, coding updates, and services affected by telehealth and valuation changes.
Why This Topic Matters
The proposed rule could affect reimbursement, documentation workflow, and telehealth delivery across many specialties. Coding and billing teams need to understand which service categories are being revalued, which telehealth policies may continue, and which new codes are being introduced for future reporting.
Article Sections
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MPFS conversion factor and E/M payment updates
Overview of the proposed Medicare payment updates and the broad policy changes affecting office/outpatient E/M services. Includes discussion of valuation shifts and projected specialty-level payment impacts.
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E/M-like services and related valuation changes
Covers additional services CMS is proposing to align more closely with office/outpatient E/M visits. Describes the general categories of services affected by the revaluation.
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COVID-19 telehealth flexibilities and post-PHE proposals
Summarizes proposed changes tied to temporary COVID-19 policies and the telehealth list. Also covers the categories of services and exceptions CMS is evaluating for continuation after the public health emergency.
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New codes for 2021
Reviews the proposed introduction of new CPT and HCPCS codes across several service areas. Includes the main procedural categories addressed in the proposed rule.
What You Will Learn
- How the 2021 MPFS proposed rule could affect physician payment and service valuation
- Which broad E/M-related policy changes are tied to the proposed update
- What categories of telehealth flexibilities CMS is proposing to extend or evaluate
- Which types of new CPT and HCPCS services are being added or considered
- How proposed code changes may affect specialty practices and billing workflows
Who Should Read This
- Medical coders
- Physician billing staff
- Practice administrators
- Compliance professionals
- Physicians
- Specialty societies
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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