2021 Medicare Physician Fee Schedule

On December 1st, CMS released a final rule to establish the CY 2021 Physician Fee Schedule. It includes significant changes to reimbursement for evaluation & management services relative to other services, changes to telehealth coverage during and after the PHE, and changes to scope of practice and direct supervision requirements.

The rule also revises the CY 2021 Quality Payment Program, including Accountable Care Organization reporting requirements, and certain Medicare Diabetes Prevention Program policies during the remainder of the COVID-19 Public Health Emergency as well as future applicable 1135 emergency waiver events.

The attached document summarizes major provisions of the final rule, which is available here.