Billing & Coding:Medicare Physician Fee Schedule Update

Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).

Are you aware of the 2021 Medicare fee schedule update?

On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule to:

Provided a 3.75% increase in Medicare Physician Fee Schedule payments for CY 2021
Suspended the 2% payment adjustment (sequestration) through March 31, 2021
Reinstated the 1.0 floor on the work Geographic Practice Cost Index through CY 2023
Delayed implementation of the inherent complexity add-on code for evaluation and management services (G2211) until CY 2024.

Centers for Medicare & Medicaid Services has recalculated the Medicare Physician Fee Schedule to:
Provided a 3.75% increase in Medicare Physician Fee Schedule payment rates and conversion factor to reflect these changes.

As an acupuncturist, Medicare fees are important, since many carriers, including the VA use Medicare rates as their benchmark for setting fee schedules.

Remember, billing with incorrect acupuncture CPT and ICD codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network is your solution.

American Acupuncture Council Network stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason acupuncturists have trusted AAC with their business for over 30 years.