Medicare Reimbursement Cuts to Doctors Must Stop

In July, the Centers for Medicare and Medicaid Services (CMS) released its proposed 2023 Part B Physician Fee Schedule. Comments from any interested stakeholder are due in September. The Advocacy Committee will submit comments, but the time is now for you to make your voice heard with your members of Congress and Senators. Use the form below to send a short letter to your member of Congress to make your voice heard. Congress is on recess much of August, and it is a great time to ask for a meeting or phone call with your representative.

Medicare Reimbursement Cuts to Doctors Must Stop

Tell Capitol Hill - Medicare’s 2023 proposed Part B doctor cuts will curtail patient access and accelerate the shift in care away from the office setting

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Greetings [recipient position will go here] [recipient name will go here],

Sincerely,
[your name will go here]
[your email address will go here] [your location will go here]

Key Points to Include in your communications:

  • The 2023 Medicare Conversion Factor, which converts RVUs to actual payment, would be reduced by about 4.5%, from $34.6062 to $33.0775. This is largely a result of the end-of-2022 expiration of a 3% one-year increase to the Conversion factor that Congress passed and the President signed into law in December of 2021. The AVLS and many other stakeholders will be advocating that Congress avert this significant cut and, at a minimum, extend the 3% increase for 2023 to avoid financially regressing as national inflation runs high.
  • CMS would adopt changes to several evaluation and management (E/M) code families, including hospital, emergency medicine, nursing facility, and home visits, as recommended by the CPT Editorial Panel and AMA/Specialty Society RVS Update Committee (RUC). These changes are estimated to require an additional reduction of about 1.5% to the 2023 Medicare conversion factor due to legally required Federal budget neutrality requirements.
  • Finally, CMS is proposing to implement Year Two of its four-year phase-in (2022-2025) of the Clinical Labor Update Policy. Due to budget neutrality, which is applied to clinical labor changes, specialties like family practice, which have a higher-than-average share of the direct costs, continue to see increases in values of common CPT codes, while other relatively “device-intensive” specialties like venous clinicians, office-based endovascular specialists, and other specialists, which have labor that is a lower-than-average share of the direct costs, will continue to see decreases in code value due to the Clinical Labor update policy. This is due to the equipment and supplies which are highly valued for office-based specialists and the lower impact clinical labor values have on the same services.

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