Providers: Outlook Brightens for Temporary E/M Code Reimbursement Patch

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We are increasingly optimistic that Congress will act to mitigate the large cut some specialties face in 2021 due to E/M code changes in the physician fee schedule. We’ve grown more bullish over the past month as spiking Covid-19 cases threaten physician practice incomes and specialty groups have developed a more cohesive lobbying strategy for drawing member attention to the issue.

We currently give odds of 60-65% that Congress will pass a provision to offset the E/M related cuts for 2021 as part of what’s likely to be a temporary government funding patch enacted next month. However, exactly how the E/M problem is addressed remains to be seen.

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