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A couple discusses their health care with a provider. Photo courtesy UCHealth.
Understanding Medicare coverage of preventive medicine, which focuses on promoting health and wellness and preventing illness and disease, is essential. As the population ages, preventive care and services like health screenings are especially important for older adults who face an increased risk for health issues.
Often concerned with cost, more than half of the nation’s seniors aren’t up to date with preventive care recommended by their doctor. But skipping these visits could come at the price of an individual’s health; effective treatment for illness and disease often depend on timely diagnosis.
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The Medicare Physician Fee Schedule Final Rule for Calendar Year 2021 (the Final Rule) issued by the Centers for Medicare & Medicaid Services (CMS) on December 1, 2020, and published in the Federal Register on December 28, 2020, made significant and far-reaching changes to the Medicare Physician Fee Schedule (PFS). In the Final Rule, which went into effect on January 1, 2021, CMS implemented changes to streamline the reporting process for office and outpatient evaluation and management (E/M) services and increased the relative value units (RVUs) for E/M services.
To account for the increase in RVUs for E/M services and still maintain compliance with the budget neutrality adjustment, CMS decreased the 2021 conversion factor to $32.41, down $3.68 (or 10%) from 2020. CMS also implemented a number of changes reflecting permanent shifts to the healthcare system as a result of COVID-19 by expanding reimbursable telehealth servi