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CMS Projects FPs Will Receive 2 Percent Increase in Allowed Charges for 2011
By News Staff
Despite the reduction in the Medicare conversion factor, the payment rate for many CPT codes, including 99213, will increase in 2011 because the relative value units, or RVUs, for the services are increasing. For example, total RVUs for CPT 99213 climbed to 2.03 in 2011 from 1.81 in 2010, resulting in an increase in the average payment for code 99213 from $66.74 to $68.97, or about 3.3 percent.
Conversion factor and RVU changes will vary depending on the code in question and the Medicare locality where services are performed because other factors will impact payment rates, including updated geographic practice cost indices. This year also marks the second year of the transition to new practice expense relative values.
CMS issued the update after Congress passed the Medicare and Medicaid Extenders Act of 2010, which blocked a steep reduction in Medicare physician payment called for under the sustainable growth rate formula and provided a yearlong payment patch.
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