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2021 Medicare Deductibles and Premiums Announced

  • CMS announced the 2021 Medicare Part A and Part B Deductibles and Premiums:

  • The standard monthly premium for Medicare Part B enrollees will be $148.50 for 2021, an increase of $3.90 from $144.60 in 2020.

  • The annual deductible for all Medicare Part B beneficiaries is $203 in 2021, an increase of $5 from the annual deductible of $198 in 2020.

  • The Medicare Part A inpatient hospital deductible that beneficiaries will pay when admitted to the hospital will be $1,484 in 2021, an increase of $76 from $1,408 in 2020. The Part A inpatient hospital deductible covers beneficiaries’ share of costs for the first 60 days of Medicare-covered inpatient hospital care in a benefit period.


99072 Use

As we shared before, the AMA released the new CPT code 99072 to be used for "Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency as defined by law, due to respiratory-transmitted infectious disease."


Additional means above and beyond what you would normally perform on a typical visit.

Tricare and Low Back Diagnosis Coverage

TRICARE is now offering a program that waives cost-sharing for up to three physical therapy visits for people with low back pain. This program will be available between Jan. 1, 2021, through Dec. 31, 2023, for those that have TRICARE insurance and live in one of these 10 states: Arizona, California, Colorado, Florida, Georgia, Kentucky, North Carolina, Ohio, Tennessee, and Virginia. Learn more about the requirements at ChoosePT by the APTA.


Save the Date: Next LRS Webinar

Join us on December 2nd at 12pm ET for our next webinar: LRS' Boots on the Ground - What We Are Seeing Heading Into 2021. The LRS leadership team will highlight trends in denials, authorization for services, credentialing and contracting, and other billing issues you should be aware of as you prepare your budgets and plan for 2021.


Register Today!