2021 ACMEGS CMS Payment Alert and Analysis

NEW in the Clinical Resources section: 2021 ACMEGS CMS Payment Alert and Analysis

Every year the Centers for Medicare and Medicaid Services (CMS) publishes two rules of interest to the ACMEGS that determine the payment rates for the following year:

  1. The Hospital Outpatient Prospective Payment System (HOPPS) and
  2. The Physician Fee Schedule (PFS).

In the case of MEG, the HOPPS determines the payment to the hospital for the unit (also known as technical payment) and the PFS represents payment for the physician’s work. A proposed rule is published in July that allows for public comments prior to the publication of the final rule in October.

Click here for a complete analysis of MEG claims and the 2021 Proposed Rule.