Article Type
Changed
Mon, 11/29/2021 - 17:10

2022 Medicare payment rules contain both good and bad news for GI. First the bad news: GIs and other specialties face millions of dollars in cuts as Medicare finalized a 3.71% cut to the Physician Fee Schedule conversion factor, which could increase to near 9% if Congress doesn’t act.

Here are highlights from the 2022 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Department (HOPD)/Ambulatory Surgery Center (ASC) final rules.

Good news

  • Telehealth reimbursement continues through December 2023.
  • Medicare coverage changes from the Removing Barriers to Colorectal Cancer Screening Act were finalized and coinsurance reduction will start Jan. 1, 2022, with full phase out by 2030.

Bad news

  • A 3.71% cut to MPFS 2022 conversion factor, which could result in a up to 9% cut to our practices. Email your lawmaker now.
  • HOPD and ASC conversion factors will increase 2% for those that meet applicable quality reporting requirements.
  • New MPFS payments for peroral endoscopic myotomy (POEM) and some capsule endoscopy CPT codes not as high as expected.
Publications
Topics
Sections

2022 Medicare payment rules contain both good and bad news for GI. First the bad news: GIs and other specialties face millions of dollars in cuts as Medicare finalized a 3.71% cut to the Physician Fee Schedule conversion factor, which could increase to near 9% if Congress doesn’t act.

Here are highlights from the 2022 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Department (HOPD)/Ambulatory Surgery Center (ASC) final rules.

Good news

  • Telehealth reimbursement continues through December 2023.
  • Medicare coverage changes from the Removing Barriers to Colorectal Cancer Screening Act were finalized and coinsurance reduction will start Jan. 1, 2022, with full phase out by 2030.

Bad news

  • A 3.71% cut to MPFS 2022 conversion factor, which could result in a up to 9% cut to our practices. Email your lawmaker now.
  • HOPD and ASC conversion factors will increase 2% for those that meet applicable quality reporting requirements.
  • New MPFS payments for peroral endoscopic myotomy (POEM) and some capsule endoscopy CPT codes not as high as expected.

2022 Medicare payment rules contain both good and bad news for GI. First the bad news: GIs and other specialties face millions of dollars in cuts as Medicare finalized a 3.71% cut to the Physician Fee Schedule conversion factor, which could increase to near 9% if Congress doesn’t act.

Here are highlights from the 2022 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Department (HOPD)/Ambulatory Surgery Center (ASC) final rules.

Good news

  • Telehealth reimbursement continues through December 2023.
  • Medicare coverage changes from the Removing Barriers to Colorectal Cancer Screening Act were finalized and coinsurance reduction will start Jan. 1, 2022, with full phase out by 2030.

Bad news

  • A 3.71% cut to MPFS 2022 conversion factor, which could result in a up to 9% cut to our practices. Email your lawmaker now.
  • HOPD and ASC conversion factors will increase 2% for those that meet applicable quality reporting requirements.
  • New MPFS payments for peroral endoscopic myotomy (POEM) and some capsule endoscopy CPT codes not as high as expected.
Publications
Publications
Topics
Article Type
Sections
Disallow All Ads
Content Gating
No Gating (article Unlocked/Free)
Alternative CME
Disqus Comments
Default
Use ProPublica
Hide sidebar & use full width
render the right sidebar.
Conference Recap Checkbox
Not Conference Recap
Clinical Edge
Display the Slideshow in this Article
Medscape Article
Display survey writer
Reuters content
Disable Inline Native ads
WebMD Article