Released on Aug 6, 2020

Tri-Society Policy Alert: Things to know about the 2021 Proposed Medicare payment rules

This week, CMS released two proposed rules for the 2021 Medicare Physician Fee Schedule and the Hospital Outpatient Department and ASC. The GI societies will provide feedback to CMS on these rules. The agency will release the final rules before the end of 2020. Implementation begins in January. 

Physician payments under MPFS will likely be cut across most specialties as the conversion factor which determine payment rates is expected to decrease to meet budge neutrality. CMS is looking for new pathways in the HOPD/ASC rule to increase the number of procedures that can be performed in an ASC. 

To find out more about how provisions in these rules will impact GI read the full analysis and summary.

Stay tuned for more information on how you can support advocacy efforts.  

2021 MPFS charts 

E/M RVU chart  

E/M payment rate chart 

GI services RVU chart 

GI services payment rate chart  

2021 ASC charts 

ASC payment rates chart 

ASC top 10 codes payment rates chart 

2021 HOPD charts 

HOPD payment rates chart 

HOPD top 10 codes payment rates chart 



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American Gastroenterological
Association

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About Gastrointestinal Endoscopy
Gastrointestinal endoscopic procedures allow the gastroenterologist to visually inspect the upper gastrointestinal tract (esophagus, stomach and duodenum) and the lower bowel (colon and rectum) through an endoscope, a thin, flexible device with a lighted end and a powerful lens system. Endoscopy has been a major advance in the treatment of gastrointestinal diseases. For example, the use of endoscopes allows the detection of ulcers, cancers, polyps and sites of internal bleeding. Through endoscopy, tissue samples (biopsies) may be obtained, areas of blockage can be opened and active bleeding can be stopped. Polyps in the colon can be removed, which has been shown to prevent colon cancer.

About the American Society for Gastrointestinal Endoscopy
Since its founding in 1941, the American Society for Gastrointestinal Endoscopy (ASGE) has been dedicated to advancing patient care and digestive health by promoting excellence and innovation in gastrointestinal endoscopy. ASGE, with more than 15,000 members worldwide, promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is the foremost resource for endoscopic education. Visit www.asge.org and www.screen4coloncancer.org for more information and to find a qualified doctor in your area.

 

American Society for Gastrointestinal Endoscopy
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P (630) 573-0600
F (630) 963-8332
 www.asge.org
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Media Contact

Andrea Lee
Director of Marketing and Communications
630.570.5603
ALee@asge.org