The final Medicare Physician Fee Schedule for 2011 was placed on display at the Federal Register on November 2 , 2010. Unwelcome to many physicians is the news that under the sustainable growth rate (SGR) formula, CMS is projecting a -24.9% decrease in physician fees unless Congress overrides the projected cuts as it has done each year since 2003. With a host of hot issues (think Bush era tax cuts) already on the table for the lame duck Congress, it's anyone's guess as to whether or when Congress will revisit the SGR cuts for 2011.