New law delays changes to the Medicare Physician Fee Schedule

Among the many provisions impacting health care providers in the new COVID-19 relief package signed on Monday 12/28, is a moratorium on some of the changes to the Medicare Physician Fee Schedule. Specifically, the new evaluation and management “add-on” code (G2211) which was to begin in 2021 to account for added complexity in outpatient visits, has been delayed three years. This change means that the full extent of expected Medicare cuts – including those for home visits – is also delayed, since the G-code would have triggered some substantial cuts to ensure budget neutrality. In addition, all providers will receive an increase of 3.75% in payments in 2021, along with a three month delay in the automatic 2% cut due to “sequestration.”

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