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The Centers for Medicare & Medicaid Services (CMS) recently issued its proposed 2021 Medicare physician fee schedule (PFS), which proposes Medicare payment rates beginning January 1, 2021. The fee schedule often serves as the basis for which many private payors set their reimbursement rates as well.

Prior to the release of the PFS, ACEP was successful in advocating for increases for the ED E/M codes, providing data and a solid policy argument directly to CMS and the White House. CMS is now proposing to adopt these specific code values for the ED E/M codes, which increases emergency medicine reimbursement by approximately 3% for CY 2021.

Unfortunately, because of the existing budget neutrality requirement under the Medicare PFS, any increases in the value of one code means a corresponding decrease in the value of all other codes. Because of budget neutrality rules, the increase would be eliminated.

What can you do?

Urge your member of Congress to waive the budget neutrality requirement for calendar years 2021 and 2022 by signing on to a bipartisan “Dear Colleague” letter led by Rep. Bobby Rush.

Click here to send a message to your member of Congress today!