Medicare Compliance & Reimbursement

If you’ve seen your Medicare pay dwindling over the past few years, this may have been a contributing factor. The Centers for Medicare & Medicaid Services (CMS) hasn’t proposed or finalized a conversion factor (CF) increase in the Medicare Physician Fee Schedule (MPFS) since calendar year (CY) 2020. For CYs’ 2021, 2022, and 2023, Congress stepped in with last-minute legislation to circumvent the cuts, but even its intervention was miniscule.

Here’s a CF breakdown from CY 2019 to CY 2023:

Sources: CY 2019 MPFS final rule; CY 2020 MPFS final rule; CY 2021 MPFS final rule; CY 2022 MPFS final rule; and CY 2023 MPFS final rule; CAA, 2021; Protecting Medicare and American Farmers from Sequester Cuts Act; and CAA, 2023.