Reimbursement: Find Out the 2021 MPFS Winners and Losers

Why This Topic Matters

The 2021 MPFS changes can alter payment levels across many services and specialties, affecting practice revenue planning and reimbursement forecasting. Understanding the policy drivers behind the update helps readers assess financial impact and monitor related Medicare changes.

Article Sections

1. Conversion factor change and Medicare fee schedule context

   Introduces the 2021 Medicare Physician Fee Schedule update and the broad payment impact associated with the annual conversion factor change. It also frames the policy context behind the update.

2. Consider This Conversion Factor Refresh

   Explains the components used in Medicare payment calculation, including the role of RVUs and geographic adjustments. It provides background on how the fee schedule is structured.

3. Who Came Out Ahead and Who Fell Behind

   Summarizes the specialty-level reimbursement trends expected under the 2021 fee schedule. It also notes broader financial pressures affecting services outside office/outpatient evaluation and management.

4. Rule Comments Highlight Providers’ Reimbursement Woes

   Covers stakeholder comments on the final rule, CMS responses regarding budget neutrality, and proposed legislative efforts related to Medicare payment relief.