Urology Coding and Reimbursement Podcast

UCR 017: 2021 CMS Proposed Rules and how they impact the Urology Practices

• Mark Painter, Scott Painter and Dr. Ray Painter • Episode 17

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0:00 | 33:18

Mark outlines the proposed rule and the 8 items that will have the most impact on the Urology practice.

  1. Final rule posting late this year
  2. Conversion factor decreasing by 10.6%
  3. E&M 2021 changes being adopted and will include increased RVUs for the E&M codes
  4. RVUs for non-facility codes increasing enough to offset conversion factor decrease
  5. RVUs for facility procedures are all decreasing
  6. ASC payments are set to increase
  7. MIPs has a couple of changes but they are not major changes to the current program
  8. Telehealth is going to continue with the same rules during the Public Health Emergency.  Once the PHE is over then covered codes will change and be separated into 3 categories of covered codes