Abstract
SUMMARY: In the 2020 Final Rule, the Center for Medicare & Medicaid Services adopted a new coding structure and accepted the substantial increase in valuation for office/outpatient Evaluation and Management codes set to begin in 2021. Given budget neutrality requirements, the projected increase in reimbursement will require a reduction in the conversion factor to offset such increases. The aim is to inform neuroradiologists the impact of these proposed changes on reimbursement and the profession.
ABBREVIATIONS:
- AMA
- American Medical Association
- ACR
- American College of Radiology
- CF
- conversion factor
- CMS
- Centers for Medicare & Medicaid Services
- COVID-19
- coronavirus disease 2019
- CPT
- Current Procedural Terminology
- E/M
- evaluation and management
- MDM
- medical decision-making
- MedPAC
- Medicare Payment Advisory Commission
- MPFS
- Medicare Physician Fee Schedule
- RUC
- AMA/Specialty Society Relative Value Scale Update Committee
- RVU
- relative value unit
Footnotes
Disclosures: Joshua A. Hirsch—UNRELATED: Consultancy: Medtronic, Relievant Medsystems, InNeuroCo, Comments: Medtronic, consultant; Relievant Medsystems, Data Monitoring Committee member; InNeuroCo, consultant; Grants/Grants Pending: Harvey L. Neiman Health Policy Institute. Greg N. Nicola—UNRELATED: Board Membership: Hackensack Meridian Health Partners*; Consultancy: Guidepoint; Stock/Stock Options: Neutigers. *Money paid to the institution.
- © 2020 by American Journal of Neuroradiology
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