Reminder, new CPT codes just took effect at the beginning of January. Are You Ready for the Proposed Changes to the CMS Physician Fee Schedule? — _ORIGINAL

What impact will the proposed changes have to your physician compensation plan?  Based on a recent STAT survey from MGMA, 53% of healthcare leaders say they are not prepared for the changes.

Here are some of the high-level changes:

  • proposed changes to the evaluation and management codes (E&M)
HCPS Code 2021 Proposed wRVU Value Current wRVUs Value Anticipated Impact +/-
99201* 0 0.48 -0.48
99202 0.93 0.93 0
99203 1.6 1.42 0.18
99204 2.6 2.43 0.17
99205 3.5 3.17 0.33
99211 0.18 0.18 0
99212 0.7 0.48 0.22
99213 1.3 0.97 0.33
99214 1.92 1.5 0.42
99215 2.8 2.11 0.69
99XXX** 0.61 0 0.61
GPC1X> 0.33 0 0.33
* HCPS code 99201 will be removed
** add-on code for extended time
> add-on code for complexity associated
  • Medicare Physician Fee Schedule (PFS) conversion factor will be reduced from $36.09 in 2020 PFS to $32.26, which reflects approximately an 11% decrease
  • some moderate changes to Telehealth services
  • affirmation of reduction in documentation burden that was finalized in the 2020 PFS

It is important to recognize that when CMS increases or decreases any relative value units (RVU) it is required by law to adjust the conversion factor to stay budget neutral.  Therefore, to offset the increase made to E&M levels, CMS will reduce the conversion factor.

What impact will these changes have on your compensation plan? For those of you with wRVU-based compensation arrangements, the increases in E&M levels will result in an increase in physician compensation which could also result in FMV issues and an unexpected budgetary shortfall to your organization.

Clearly, physician groups and health systems need to perform a deep dive into their compensation plan and assess the impact the increase in E&M levels will have on their compensation plan. Since salary survey data is compiled based on submissions and trends from the previous year, these changes will not be reflected in your MGMA, S&C or ECG surveys until 2022.   This means physician employers should test and more than likely modify their compensation plans in the next quarter.

The biggest impact will be to primary care practices, endocrinologists, rheumatologists, hematologists/oncologists, and other office-based physicians for clinic visits.  Compensation plan development and implementation requires buy-in from many stakeholders, but most importantly, it takes time and close attention to detail.  You want to be sure that your providers are compensated fairly, but that they are not over compensated.  You will want to calculate the projected compensation increase to your physicians vs. the projected revenue shortfall and make the appropriate adjustments to the physician’s total compensation to offset the decrease in revenue.

HOW CAN ENVISION BETTER HEALTH, LLC HELP?

We can assist you in determining the potential impact to your physicians’ salary and your budget.  We can review your current compensation plan or start de novo.  We have experience developing compensation plans for small as well as large provider groups.  Contact us at:

www.envisionbetterhealth.org

www.linkedin.com/in/ncruz-envisionbetterhealth

 

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    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , широкий прямые Р±СЂРѕРІРё

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  59. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , чем отличается ламинирование бровей РѕС‚ долговременной укладки

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  60. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , простой макияж глаз

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  61. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , макияж РІ 40 лет

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  62. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , учеба наращивание ресниц

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  63. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , РєСѓСЂСЃС‹ визажа СЃ дипломом

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  64. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , РєСѓСЂСЃС‹ красоты

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  65. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , фото шугаринг

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  66. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , лёгкий макияж для подростков

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  67. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , чем выщипывают Р±СЂРѕРІРё

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  68. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , РіРґРµ зародился макияж

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  69. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , как научиться краситься тенями

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  70. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , вечерние прически РЅР° средние волосы

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  71. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , пошагово гель лак

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  72. Reply

    Красота в глазах смотрящего. Говорят, что красота не только в глубине кожи, но и в результате того, как вы себя ведете или , например , идеи фото на день рождения

    Что делает человека красивым? Есть много факторов, влияющих на красоту. Некоторым людям важна внешность, в то время как другим важнее интеллект. Одни люди заботятся о таланте, другие заботятся о доброте. Что можно сделать для улучшения красоты? Есть много способов улучшить красоту. Некоторые люди предпочитают естественную красоту, другие прибегают к пластической хирургии и макияжу.

    Как вы определяете красоту? Это интересный вопрос, потому что существует так много разных способов его определения, и он отличается от человека к человеку. Лично я определяю красоту как человека, у которого есть хорошая личность и отличительные черты. Какой ваш любимый косметический продукт? Я люблю хорошие маски для лица зимой. Какой твой самый нелюбимый косметический продукт? Я питаю слабость к наращиванию ресниц, потому что это очень весело, но может быть дорого.

  73. Reply

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