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Waive Medicare Budget Neutrality Requirements for E/M Policy Changes

In November 2019, the Centers for Medicare and Medicaid Services (CMS) finalized Medicare policy to increase reimbursement of evaluation and management (E/M) services beginning in 2021. To offset the increase and maintain budget neutrality, the CMS will reduce payment for non-E/M services. For pathologists, this reduction from the Medicare program will amount to an overall cut of 9% to pathology services in 2021. For independent laboratories, it amounts to a 5% cut in 2021.

With extraordinary pressures on pathologists as a result of the COVID-19 pandemic, the CAP opposes the Medicare cuts and has led a major campaign to mitigate the decreases. Specifically, the CAP is advocating to waive budget neutrality requirements for the E/M changes.

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, issue brief, and fact sheet. Members of Congress need to hear directly from their physician constituents about the severe impact this 9% cut will have on the vital role pathologists have in health care.

Learn How You Can Fight The Cuts!

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.

Articles to Support Waiving Budget Neutrality