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2020 Medicare Physician Fee Schedule

2020 Medicare Physician Fee Schedule

August 6, 2019

Last week the Centers for Medicare and Medicaid Services (CMS) released a 1700-page proposed rule for the 2020 Medicare physician fee schedule (PFS). The rule covers diverse topics, including geographic payment adjustments and professional liability insurance relative values as well as new payments for managing patients with opioid use disorder. This memo focuses on two key issues that have been major priorities for the physician community in our advocacy with CMS over the past year: revisions to the office visit codes and payment rates, and modifications to the Merit-based Incentive Payment System (MIPS) to make the program less fragmented and more clinically relevant. A more comprehensive summary of the rule will be developed in coming days.

The Proposed Rule on the 2020 Medicare Physician Payment Schedule has been posted at:
CMS has released a Fact Sheet on the Proposed Rule at:

Estimated Specialty Level Impacts of Proposed E/M Payment and Coding Policies if Implemented for CY 2021

MIPS Value Pathways


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