2021 Offers New Opportunities Amid Healthcare Regulation Changes

2021 Offers New Opportunities Amid Healthcare Regulation Changes

  • March 10, 2021

The transition from 2020 to 2021 brought with it several changes to the healthcare marketplace. New final rules for the Physician Self-Referral Law (Stark Law) and the Anti-Kickback Statute (AKS) have provided significant flexibility for the healthcare industry to develop new business models to care for patients. The 2021 Medicare Physician Fee Schedule (MPFS) saw the Centers for Medicare and Medicaid Services (CMS) finalize new coding provisions for outpatient evaluation and management codes while reducing the conversion factor used to calculate reimbursement paid under the MPFS. These changes provide a significant opportunity for industry participants while also introducing new complexity. Understanding these changes and how they will impact your organization is key to a successful future.

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