AGA Family of Websites: Gastro.org

Take action: Medicare rules for next year include some good news, but also pay cuts

GI's could face up to a 9% cut in reimbursement.
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2022 Medicare payment rules contain both good and bad news for GI. First the bad news: GIs and other specialties face millions of dollars in cuts as Medicare finalized a 3.71 percent cut to the Physician Fee Schedule conversion factor, which could increase to near 9 percent if Congress doesn’t act.

AGA and all of medicine are fighting to prevent the cuts. Congress must step in to protect our practices. Email your lawmaker now.

Here are highlights from the 2022 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Department (HOPD)/Ambulatory Surgery Center (ASC) final rules.

Good news

1. Telehealth reimbursement continues through Dec. 2023.

2. Medicare coverage changes from the Removing Barriers to Colorectal Cancer Screening Act were finalized and coinsurance reduction will start Jan. 1, 2022 with full phase out by 2030.

3. A 2% increase to HOPD and ASC conversion factors will increase 2% for those that meet applicable quality reporting requirements.

Bad news

1. A 3.71% cut to MPFS 2022 conversion factor, which could result in a up to 9% cut to our practices. Email your lawmaker now.

2. New MPFS payments for peroral endoscopic myotomy (POEM) and some capsule endoscopy CPT codes not as high as expected.

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