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.
With more cuts under this policy in the future, the CAP remains committed in the fight against further cuts to pathology services.
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