Skip to main content

Payment cuts, new conversion factors, a temporary lift of sequestration reductions, and more: The Medicare payment world changed dramatically in 2021. APTA's members-only Medicare physician fee schedule calculator can help you navigate the new landscape.

This year's calculator includes the recently revised conversion factor and incorporates the 50% multiple procedure payment reduction as well as the overall 2% cut to Medicare payments implemented through sequestration. Users also can calculate the payment amount without sequestration for dates of service Jan. 1 to March 31, 2021, due to the temporary suspension of sequestration.

The calculator, delivered by way of an Excel spreadsheet, calculates Medicare physician fee schedule payment for procedures provided to a beneficiary on a given day in a specific geographic location.

Other features include options for selecting your Medicare participation status — participating, nonparticipating but accepting assignment, or nonparticipating and not accepting assignment — as well as the ability to compare the 2021 payment rate with the rate in 2020. The calculator also features a Merit-based Incentive Payment System adjustment tool, another new facet of the 2021 payment year.


You Might Also Like...

News

2023 Fee Schedule Calculator Now Available to APTA Members

Jan 17, 2023

The updated member benefit helps you see how CMS changes to the fee schedule, coding, and other issues will affect your practice.

Members Only

Outpatient Therapy Medicare Physician Fee Schedule Calculator

Jan 13, 2023

APTA's outpatient therapy fee schedule spreadsheet helps you determine your payment for services under Medicare.

Article

Final 2023 Medicare Physician Fee Schedule: What You Need to Know, Part 3

Nov 8, 2022

In our final installment: MIPS, quality measures, MIPS Value Pathways, and more.