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Impact Calculator for the 2021 E/M Code Changes

• September 24, 2020

The proposed 2021 Medicare Physician Fee Schedule (MPFS) changes are expected to have a significant economic impact across virtually all healthcare organizations. Specifically, changes to evaluation and management (E/M) coding and reimbursement could result in substantial losses for organizations, especially those utilizing productivity-based compensation plans. The exact magnitude of these potential losses will largely depend on many factors, including but not limited to specialty type (e.g., surgical, medical, primary care), case volume, and historical/contractual provider compensation per work RVU.

We recognize that many healthcare organizations are scrambling to update and complete budgets and are struggling to quantify the financial impact of these proposed changes. To that end, we have developed an E/M compensation calculator to help organizations estimate the expected incremental impact of the changes. Contact us today if you have any questions about the results, general questions about the 2021 MPFS changes, how they may impact your organization, and how you can best prepare for the upcoming changes!

The following calculator provides an estimate of the potential economic impact your organization may face. Please note that the results of the calculations include the national Medicare reimbursement impact based on the volume input. As such, the results of the calculation are meant for planning purposes only and do not represent an estimation of value. For a more in-depth assessment of your providers’ payment calculations and how this may affect your commercial and other payers, please contact us to speak with one of our physician compensation experts.

Estimate the Impact of the 2021 Changes