Policy Details

Medicare Program: Hospital Outpatient Prospective Payment and ASC Payment Systems; Prior Authorization; COVID-19 Reporting and Other Policies

Summary

Finalizes CY 2021 Physician Fee Schedule updates, including Evaluation and Management coding changes, telehealth expansions, and various Part B policy clarifications.

Healthcare Implications

Evaluation and Management and telehealth changes drive updates to Electronic Health Record templates, coding automation, and AI‑assisted documentation/triage tools.

Impact Level

Low

Stakeholders

Providers & Health Systems; Patients & Public; Payers & Purchasers; Regulators & Government