In November 2019, the Centers for Medicare and Medicaid Services (CMS) finalized a Medicare policy to increase reimbursement for evaluation and management (E/M) services beginning in 2021. To offset the increase and maintain budget neutrality, the CMS reduced payment for non-E/M services.
At the end of last year, the CAP successfully lobbied Congress to pass legislation mitigating the impact of the E/M cuts from 9% to about 2% to 3% in 2021, saving pathologists nearly $85 million in lost revenue.
With extraordinary pressures on pathologists as a result of the COVID-19 pandemic, the CAP is seeking an extension of the relief Congress passed last year. As such, the CAP is asking Congress to appropriate an additional $3billion to extend the current relief and provide sufficient time to develop a longer-term solution.
Another round of cuts to pathology non-E/M codes will be implemented in January 2022 if Congress does not intervene. The CAP remains committed in the fight against further cuts to pathology services and we need your help. Send an email to your member of Congress today.
Latest E/M Asks to Congress
Articles to Support Waiving Budget Neutrality
- Congress needs to protect physicians from Medicare cuts, by Patrick Godbey, MD, FCAP
- Stop Medicare cuts to pathologists during a pandemic, by Samuel Caughron, MD, FCAP
- Safeguarding Physician Services and Medicare Patients Post COVID-19, by Eric Loo, MD, FCAP
- Cuts in Medicare Payments are Hurting Physicians and Access to Healthcare, by Anthony Simonetti, MD, FCAP
- Medicare Cuts Would Sink Labs, by Sang Wu, MD, FCAP