CMS Physician Final Rule 2023

Webinar Details

Speaker

Jan Rasmussen

Industry

Medical Billing Coding Webinars

Speciality

Medical Billing Coding Webinars

Available

All Days

Duration

90 Minutes

Description

Every summer CMS publishes its proposed new physician payment and coding change guidelines for the coming year. On November 1, 2022, CMS published its final rule after reviewing comments from the physician community confirming or changing issues from the proposed rule. In some circumstances, provider comments can influence CMS to deviate from its original proposed guidelines. It is very important for providers and staff to know what items in the proposed rule will move forward to 2023 and to know what CMS has decided not to move forward on in 2023. The proposed rule issues that were not implemented for 2023 may identify issues still being considered for 2024. This year there are significant changes to EM services and prolonged services that will require a complete change in the way services are coded outside of the office setting as well as new times for determining prolonged services for Medicare patients.

Learning Objectives

  • New conversion factor for 2023
  • New EM codes and code categories outside of the office setting
  • New CMS times associated with EM codes
  • New prolonged service G codes for Medicare patients
  • Split/Shared care billing
  • Colorectal screening guidelines
  • Updated telehealth availability
  • New monthly chronic care management services
  • Availability for patient treatment by clinical psychologists, clinical social workers, professionally licensed counselors, and licensed marriage and family therapists
  • Payment for drugs for methadone treatment
  • Expanded access to audiology and dental/oral health services
  • Possible changes to “skin substitutes” in 2024

Areas Covered

  • Will CMS’s new conversion factor for 2023 affect your bottom line
  • Correct coding of EM services outside of the office setting
  • Changes to colorectal cancer screening guidelines 
  • How shared care will change or not change for 2023 
  • Identify new telehealth services available after the end of PHE 
  • Consider how the role of clinical psychologists, clinical social workers, professionally licensed counselors, and licensed marriage and family therapists may improve access to behavioral health services 
  • New monthly codes and strategies for chronic pain management 
  • Understand new payment methodology for Methadone treatment drugs
  • Review finalized guidelines for patient access to audiology services and dental oral health care.
  • Understand new payment and classification of wound care management products.

Background

Annually CMS publishes its final rule for physician practices outlining new policies, codes, coding guidelines, and fee schedules This rule is a must for physician offices to read and be aware of all the changes within the CMS system.

Why Should You Attend

All providers and offices that bill Medicare or Medicaid for services must stay current on CMS yearly changes. This program will detail all those changes.

Who Should Attend

  • Providers
  • Coders
  • Office managers
  • Reimbursement managers
  • Denial staff
  • Audit staff

Registration Options

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Jan Rasmussen
Jan Rasmussen

(PCS, ACS-OB, ACS-GI)

Jan Rasmussen, PCS, ACS-OB, ACS-GI, – As a health care consultant Jan has more than 45 years of experience in physician billing, reimbursement, and compliance. Jan is currently the owner of Professional Coding Solutions, a healthcare consulting firm. She has been a Certified Professional Coder (CPC) since 1992. As a member of the American Academy of Professional Coders (AAPC) Jan previously served on their Advisory Board as the liaison to the AMA, has been a speaker for the AAPC annual conference as well as contributed to the development of the original AAPC’s independent study, university education programs, and proficiency tests. In 1994, she was honored by AAPC as Networker of the Year.  Jan was also a Regional Governor for the American College of Medical Coding Specialists (ACMCS) serving as Chair of the Ethics committee and a member of the Examination committee.

In her role as a physician consultant, she has participated in physician coding and documentation reviews including OIG government PATH and Campus audits, and designed and conducted physician coding seminars nationwide. She has been a guest speaker for several conferences sponsored by United Communications, Inc//Decision Health, AAPC as well as Coding Institute Specialty Conferences.

In previous consulting positions, she was responsible for developing and conducting seminars for basic, intermediate, and advanced ICD-9-CM and CPT, teaching physician guidelines as well as special seminars for OB/GYN, Orthopedics, Urology, Gastroenterology, General Surgery, ENT, Cardiology, Emergency Medicine and Evaluation and Management. In her role as an educator, she has been teaching E/M documentation and auditing to both physician and coding audiences since 1992 when RBRVS was first implemented.

Jan has also worked for several major health insurance payers in Wisconsin, was a coding advisor to the WPS Medicare Carrier Advisory Committee, and served as the coding and reimbursement coordinator for a 37-provider, staff model HMO clinic.  As the coding and reimbursement coordinator, Jan was responsible for physician office, hospital, surgical, and nursing facility coding charge ticket development, fee development, reimbursement analysis, claims analysis, and physician education.


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