Dialysis & Nephrology Digest - January 2021

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Congress’ year-end spending bill includes increase to Medicare physician fee schedule, surprise medical bill protection -

Sweeping federal legislation signed into law on Dec. 27 combines $1.4-trillion in spending allocations with a $900-billion pandemic relief package. Among the provisions of the bill are several relating to healthcare:

..A one-time increase to the Medicare physician fee schedule this year of 3.75% to mitigate losses caused by COVID-19;

..Extensions of the temporary suspension of Medicare sequestration to Mar. 31 as well as the increased payments for work-related physician fees where labor costs are lower than the national average to the end of 2023; and

..A $25.4-billion fund for contact tracing and testing related to COVID-19. That total includes $3 billion to reimburse care providers negatively affected by the pandemic.

The legislation also includes limits out-of-network providers can bill individuals to fees based on in-service rates. Patients would then have those out-of-network charges applied to their in-network deductible. The so-called surprise medical bill law is set to go into effect in 2022.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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