On January 5, 2021, the Centers for Medicare and Medicaid Services (CMS) published the revised conversion factor (CF) for services reimbursed under the Medicare Physician Fee Schedule (MPFS) for calendar year 2021. This would include outpatient therapy services provided in all outpatient therapy settings except for critical access hospitals since critical access hospitals are not reimbursed under the MPFS.
The revised 2021 CF for services paid under the MPFS is
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In addition, I have created an excel spreadsheet that provides the Medicare allowed amount for the most common CPT codes billed by physical, occupational and speech therapy for calendar year 2021. The spreadsheet also compares the 2021 Medicare allowed amount to the 2020 Medicare allowed amount so you will be able to see the percentage increase or decrease in 2021 compared to 2020. For my spreadsheet, I used Detroit, MI as the payment locality. To access the spreadsheet, click
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Mr. Gawenda has presented nationally since 2004 and currently presents approximately 100 dates per year around the United States.