Billing Beat

Proposed Fee Schedule Impact on Pathology Payment in 2022

August 12, 2021

The CMS also estimates the overall impact to pathology payment in 2022 should the agency finalize this rule as proposed. According to the CMS reimbursement for pathology services would decrease by 1% due to changes practice expense pricing. In addition, the proposed 2022 conversion factor used for the fee schedule’s payment formula is $33.5848, representing a 3.75% decrease from the 2021 conversation factor. This 3.75% decrease to the conversion factor stems from Medicare policy to offset increases to other physician services such as any increases to evaluation and management services.

Review all the proposed changes to pathology services in the proposed 2022 Medicare Physician Fee Schedule Impact Table.

Source: https://www.cap.org/advocacy/latest-news-and-practice-data/special-issue-july-13-2021

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