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Regulatory alert: Medicare proposes 2021 payment and quality reporting changes

08/04/2020 12:21 PM | Rebekah Francis (Administrator)

The Centers for Medicare & Medicaid Services (CMS) released the proposed 2021 Medicare physician fee schedule (PFS) rule late this evening, which includes proposed changes to the Merit-based Incentive Payment System (MIPS) and alternative payment model (APM) participation options and requirements for 2021. Key proposals include:

·     Setting 2021 Medicare payment rates for physician services;

·     Generally confirming E/M documentation guidelines and payment changes finalized in the 2020 PFS;

·     Expanding telehealth coverage; and

·     Establishing MIPS reporting requirements for 2021.

MGMA will submit detailed comments in response to these proposals to CMS and prepare a more detailed analysis of proposed changes in the coming weeks. Review the proposed rule, the PFS fact sheet, and the QPP fact sheet. The final 2021 PFS rule is expected by Nov. 1, 2020.


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