Providers Get Some Relief in the Consolidated Appropriations Act of 2021
Late last night, 12/21/2020, Congress passed the Consolidated Appropriations Act of 2021, which covers a host of government spending provisions. Included in the bill is some welcome relief for the otherwise draconian cuts included in the CMS 2021 Fee Schedule Final Rule.
While there is more analysis required to come up with a hard figure, in general it appears cuts in payments will be reduced significantly in comparison to those in the Final Rule. This was accomplished by several measures including:
Other measures that impact payments to the Physician community are:
Surprise Billing:
As expected, Surprise billing measures for out-of-network emergency services billing are also included in the bill. The rates are based on the median in-network payment rates for services. Notably, should the provider choose to opt for arbitration, the parties are banned from considering Medicare and Medicaid rates.
This is a huge bill in scope, and will need further analysis to come up with real figures regarding the final impact to payment reduction.