2011 MPFS Conversion Factor has been Established

The 2011 conversion factor (CF) has been established at $33.9764, an 8% decrease from the 2010 CF of $36.8729.  Although the physician fee schedule update is 0%, the physician fee schedule final rule resulted in a number of changes in both the practice expense component of the RVU as well as adjustments to the calculation of the MEI in order for the financial effect to be budget neutral.

The new conversion factor was calculated by adding a 0.4% RVU budget neutral adjustment and adjusting the MEI calculation by a negative (8.3%).  The Medicare contractors have published their 2011 fee schedule with this new conversion factor.

You may view the 2011 reimbursement rates by clicking below on one of the  “fee schedules”  in blue. The state(s) serviced by the contractor is located after the name of the contractor.   

NHIC – MA, ME, RI, VT, NH – NHIC Fee Schedules for 2011

NGS – CT – NGS Fee Schedule

Highmark – NJ – Highmark Fee Schedule

First Coast – FL – First Coast Fee Schedule