Insights from MGMA’s Medical Practice Excellence Pathways Conference.
At MGMA’s Medical Practice Excellence Pathways Conference, Justin Chamblee, CPA and senior vice president of Coker Group, gave a presentation overviewing CMS’s 2021 Final Rule changes and exploring the impact these changes will have on wRVUs and physician compensation.
According to the presentation, some key changes to the 2021 Office / Outpatient E/M codes include:
Net increases in RVUs means that Medicare payments for E/M visits will increase in 2021, then fall in 2022 compared to 2021 levels, Chamblee said in his presentation. Furthermore, due to budget neutrality requirements, payments for other services will be reduced and, as a result, some specialties will experience reimbursement increases while others experience decreases
Specialties that focus on office visits are expected to experience the most significant positive impact. Specialties that are hospital-based or focus on procedures are expected to experience the most significant negative impact.
The table below lists how Chamblee has calculated each specialty may be effected.
Below are some tips from the presentation regarding what practices should do to prepare for these changes.
When reviewing RVUs and collections to understand the impact of the 2021/2022 MFPS changes, Chamblee says practices should review: