Congress Passes Legislation Reducing 9% Payment Reduction
On December 21, 2020, the United States Senate and United States House of Representatives passed legislation that will have a financial impact on outpatient physical, occupational and speech therapy services thru December 31, 2023. President Trump signed the legislation into law on December 27, 2020. In this article, I will provide information on the following topics:
- Conversion factor change for calendar year 2021 that will impact payment for outpatient physical, occupational and speech therapy services under the Medicare Physician Fee Schedule.
- Extension of temporary suspension of Medicare sequestration
- Extension of the Work Geographic Index Floor minimum of 1.0
- Places a moratorium on the payment for G2211
- How does G2211 impact payment for outpatient therapy services?
- In simple terms, what is the expected payment adjustment for outpatient therapy services in 2021 compared to 2020?
Let’s Begin
Medicare Physician Fee Schedule (MPFS) and the Conversion Factor
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Extension of Temporary Suspension of Medicare Sequestration
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Extension of the Work Geographic Index Floor Minimum of 1.0
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Places a Moratorium on the Payment for G2211
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How Does G2211 Impact Payment for Outpatient Therapy Services?
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In simple terms, what is the expected payment adjustment for outpatient therapy services in 2021 compared to 2020?
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thanks Rick. So if they add back the savings on not reimbursing CPT code 2211 and this increases the reimbursement by 3.75%, if they vote to put a 2 year moratorium on the 9% cuts would that mean we will see an increase of 3.75% in cy 2021?
Read the last question and answer to see the final reduction for 2021. There is no 2-year vote. This is the legislation that was passed.
So there will be a reduction in cy2021 it just won’t be 9%?
That is correct.
Some good news. Thank you for keeping us up to date!
So in layman’s terms, we are getting a 3.6% cut in our OVERALL outpatient PT reimbursements?
Please read the last Q&A in this article for the answer to that question.
Since CORF’s and ORF’s are paid from the Part B Physician fee schedule these Medicare cuts will apply for CORF’s and ORF’s billing PT/OT/ST in 2021 correct?
Correct!
Thru March 31, 2021 we would see an additional 2% due to the suspension of the sequestration.
Sequestration has been suspended since May 1, 2020.
Can you tell me where I can find information regarding G2211 in relation to PT/OT as to how/when to bill? Thank you, as always!
G2211 is not for PT, OT or SLP.