To: Nancy Pelosi, Mitch McConnel, Kevin McCarthy, Chuck Schumer
"Our organizations are in support of waiving the budget neutrality (BN) requirements in 2021 as a measure to mitigate financial instability as a result the Public Health Emergency (PHE). However, waiving BN must not in any way be accompanied by other policy changes that would delay or reduce the E/M RVU increases, or the HCPCS code for visit complexity, as finalized in the 2020 MPFS Final Rule. These changes are urgently needed to help sustain primary care at a time when many practices are at risk of closing their doors because of continued revenue losses resulting from the COVID-19 pandemic, particularly when access to primary care is critical to caring for the tens of millions of patients who need, and may have delayed, getting preventive care and treatment for their acute and chronic illnesses from their primary care physician. We continue to support CMS’ planned actions in this regard and look forward to their implementation as part of the 2021 MPFS."
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