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Prevent Medicare Cuts for Pathology Services

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.

Take Action to Stop the Cuts

Without significant engagement by CAP members with their respective members of Congress, getting this issue addressed before the end of the year is going to be a major challenge. The CAP has asked its members to use this form to submit the advocacy activities they wish to engage on to stop the Medicare cut. For more information, review our E/M Advocacy Toolkit and issue brief.

Latest E/M Asks to Congress

The CAP has urged Congress to provide further economic assistance to pathology practices by writing letters to Congressional leaders with members’ concerns regarding E/M services cuts.