1/ @HHSGov @SecAzar has extended the #COVID19 Public Health Emergency (PHE) declaration effective Jan. 21, 2021 for an additional 90 days. 
2/ This means that all of the #telehealth and other waivers and flexibilities that have been implemented during the #PHE will remain in effect until at least April 21, 2021.
3/ As in the summary & impact table by @AmerMedicalAssn, the Consolidated Appropriations Act signed into law 12/27/20 included provisions that offset most of the 10.2% budget neutrality adjustment that was slated to take effect for Medicare-covered services provided as of 1/1/21.
4/ For an AMA detailed summary of select provisions in the bill, please see: tinyurl.com/y65utfno
For an AMA analysis estimating the impact of the Medicare payment changes (excluding the sequester moratorium extension), please see: tinyurl.com/y3e8j82e
For an AMA analysis estimating the impact of the Medicare payment changes (excluding the sequester moratorium extension), please see: tinyurl.com/y3e8j82e
5/ @CMSGov has now confirmed that it is implementing the following provisions of this legislation and that there will be no delay in claims processing for 2021 services.
CMS states that claims will be paid on time at the correct 2021 rates that reflect this legislation.
CMS states that claims will be paid on time at the correct 2021 rates that reflect this legislation.
6/ Message from @CMSGov: cms.gov/Medicare/Medic…
On 12/27/20, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) as follows:
On 12/27/20, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) as follows:
7/ •Provided a 3.75% increase in MPFS payments for CY 2021
• Suspended the 2% payment adjustment (sequestration) through 3/31/21
•Reinstated the 1.0 floor on the work GPCI through CY 2023
•Delayed implementation of inherent complexity add-on code for E/M (G2211) until CY 2024
• Suspended the 2% payment adjustment (sequestration) through 3/31/21
•Reinstated the 1.0 floor on the work GPCI through CY 2023
•Delayed implementation of inherent complexity add-on code for E/M (G2211) until CY 2024
8/ CMS has recalculated the MPFS payment rates & conversion factor to reflect these changes. The revised MPFS conversion factor for CY 2021 is 34.8931.
The revised payment rates are available in the Downloads on the CY 2021 Physician Fee Schedule final rule (CMS-1734-F) webpage.
The revised payment rates are available in the Downloads on the CY 2021 Physician Fee Schedule final rule (CMS-1734-F) webpage.
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