BY: Beth Turnbaugh, Director of Billing Operations
Increase in 2021 Medicare Physician Fee Schedule (MPFS)
On December 27, the Consolidated Appropriation Act, 2021 modified the Calendar Year 2021 MPFS. Along with suspending the 2% sequestration through March 31 it has added a 3.75% increase over the originally proposed 2021 MPFS. Below are the new rates for the areas RCM services.
| Medicare | |||
| Area | County | Jan-21 | |
| Southern CA | 71 | Imperial/El Centro | $ 21.73 |
| 18 | Los Angeles | $ 22.64 | |
| 26 | Orange | $ 22.64 | |
| 72 | San Diego | $ 22.14 | |
| 17 | Ventura (1) | $ 22.26 | |
| 17 | Ventura (2) | $ 22.26 | |
| Northern CA | 7 | Alameda-E Bay/Oakland | $ 23.26 |
| 7 | Contra Costa | $ 23.26 | |
| 75 | Humboldt | $ 21.71 | |
| 75 | Lake | $ 21.71 | |
| 52 | Marin | $ 23.16 | |
| 64 | Monterey/Salinas | $ 22.42 | |
| 51 | Napa | $ 22.39 | |
| 75 | Nevada | $ 22.11 | |
| 63 | Placerville | $ 21.90 | |
| 62 | Riverside | $ 22.10 | |
| 63 | Sacramento | $ 21.90 | |
| 65 | San Benito | $ 23.56 | |
| 62 | San Bernardino | $ 22.10 | |
| 5 | San Francisco | $ 23.26 | |
| 68 | San Joaquin/ Stockton/Lodi | $ 21.71 | |
| 6 | San Mateo | $ 23.26 | |
| 74 | Santa Barbara | $ 22.20 | |
| 9 | Santa Clara | $ 23.70 | |
| 66 | Santa Cruz | $ 22.35 | |
| 53 | Solana/Vallejo | $ 22.39 | |
| 67 | Sonoma/Santa Rosa | $ 22.28 | |
| 60 | Stanislaus/Modesto | $ 21.71 | |
| OR , WI | 99 | Oregon | $ 20.77 |
| Wisconsin | $ 20.44 | ||