Pie in the sky.

On Monday the Centers for Medicare & Medicaid Services (CMS) issued the 2021 Medicare Physician Fee Schedule (MPFS) proposed rule to go into effect January 1. While med oncs enjoy an overall 14%(!) increase in estimated payments, their rad onc colleagues are set to suffer an unprecedented 6% decrease. This is largely due to an unchanging pie (i.e., neutral budget) being cut with bigger slices for in-office high-level established patient visits (hello, every med onc patient ever) with less pie leftover for outpatient procedures. | CMS 2020


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