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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

communications@gastro.org
(301) 654-2055
www.gastro.org

 American College of Gastroenterology
info@gi.org
(301) 263-9000
www.gi.org

 American Society for Gastrointestinal Endoscopy
info@asge.org
(630) 570-0600
www.asge.org