CMS Physician Final Rule 2025

Webinar Details

Speaker

Jan Rasmussen

Industry

Medical Billing Coding Webinars

Speciality

Medical Billing Coding Webinars

Calendar

Dec 17, 2024 , 01 : 00 PM EST
|  33 Days Left

Duration

90 Minutes


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Description

Every November CMS publishes its final rules for physician payment and coding change guidelines for the coming year. On November 1, 2024, CMS published its final rule after reviewing comments from the physician community confirming or changing issues from the proposed rule. It is very important for providers and staff to know the new coding and billing opportunities to be available on January 1, 2025.

This year there are increased billing opportunities for providers and health care providers from extended caregiver training services to additional billing opportunities for g2211. CPT has added a whole new EM section for telehealth services and new telephone call codes which Medicare may or may not recognize for payment. Hepatitis B immunization services have also been updated. There are also added significant additional billing opportunities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).

Learning Objectives

  • New conversion factor for 2025
  • Billing opportunities for add on code G2211
  • Become familiar with all new regulations and billing opportunities for 2025 based on the practice specialty
  • Understand new guidelines for direct and general supervision for incident to, teaching physicians and physical therapy assistants
  • Identify opportunities within your practice for billing caregiver training services and advanced primary care management
  • Review updated telehealth/telephone services available.

Areas Covered

  • Will CMS’s new conversion factor for 2025 affect your bottom line
  • Expansion of billing opportunities for G2211
  • Identify additional and new telehealth services available in 2025 
  • New coding and payments for caregiver training
  • PrEP counseling and safety planning interventions
  • Additional colon cancer screening opportunities
  • Telephone guidelines when the patient does not have an interactive telecommunications system available or does not consent to interactive communication
  • Permanently adoption of the definition of direct supervision for supervising providers
  • New set of G codes for payable advanced primary care management (APCM) services
  • Coding and payment for Atherosclerotic Cardiovascular Disease (ASCVD) risk assessment and risk management services
  • Expansion of Behavioral Health services
  • Updates for Opioid Treatment Programs (OTPs) 
  • New HCPCS add-on code to describe the intensity and complexity inherent to hospital inpatient or observation care, associated with a confirmed or suspected infectious disease, performed by a practitioner with specialized training in infectious diseases
  • New add-on code, HCPCS code for post-operative care services furnished by a practitioner other than the one who performed the surgical procedure (or another practitioner in the same group practice).
  • Finalization of a regulatory change to allow for general supervision of physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) by PTs in private practice (PTPPs) and OTs in private practice (OTPPs) for all applicable physical and occupational therapy services.
  • Amending certification regulations to lessen the administrative burden for therapists (PTs, OTs, and speech-language pathologists (SLPs)) and physicians/NPPs.
  • Expansion of dental and oral health services
  • New guidelines for immunosuppressive therapy
  • Expanded RHC and FQHC coding and billing guidelines.

Background

Every November CMS publishes its rules and payment policies for the upcoming year. It is essential for physician practices to review these new guidelines and payment policies to prepare for January 1st when the the rules go into effect. Patient-centered care has been a top priority for CMS. This year there are multiple opportunities for physician practices to implement new patient-centered care services to increase reimbursement. Telehealth services as we know them during and immediately after the PHE may also be at risk for 2025.

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
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.

Registration Options

Choose Your Options

Save $10 - [ HEALTHCPTI ]

Error Conference Exists In Wish-list.

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Need Corporate Discount ?


  • * For more than 6 attendee call us at +1-800-803-7592 or mail us at cs@conferencepanel.com
  • * For Check and ACH payment call us at +1-800-803-7592 or mail us at cs@conferencepanel.com
  • * Click to download the Order Form
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.