Description

The CMS Physician Final Rule is crucial to the U.S. healthcare landscape. This annual rule, issued by the Centers for Medicare and Medicaid Services (CMS), governs how healthcare providers are paid for their services when serving Medicare and Medicaid beneficiaries. 

On November 1, 2023, CMS published its final rule after reviewing comments from the physician community confirming or changing issues from the proposed rule. 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. 

Providers and staff need to know what items in the proposed rule will move forward to 2023 and what CMS has decided not to move forward in 2024. The proposed rule issues not implemented for 2023 may identify issues still being considered for 2024. The webinar will provide significant changes to EM services, splits/shared care, remote patient monitoring (RPM), complex chronic care management (CCM), etc., requiring a complete change in how services are coded outside of the office setting.

Webinar Highlights:

• The webinar will review finalized guidelines for patient access to audiology services and dental oral health care.
• Understanding new payment and classification of wound care management products.
• Considering how the role of clinical psychologists, clinical social workers, professional licensed counselors, and licensed marriage and family therapists will improve access to behavioral health services.
• Learning new codes and strategies for chronic pain management.
• Understanding new payment methodology and codes for Methadone treatment drugs.
• Review the correct coding of EM services outside of the office setting.
• The speaker will discuss the New Medicare Clinical Quality Measure (CQM) collection, the type of ACOs under the Alternative Payment Model (APM), and the Performance Pathway.
• Maintaining CMS’s new conversion factor for 2024 affects the bottom line.
• Understanding the changes to colorectal cancer screening guidelines.
• Payment for drugs for methadone treatment.
• Expanded access to audiology and dental/oral health services.
• The webinar will discuss whether or not shared care will change in 2024.
• Guidelines on CMS General Prolonged Services.
• Understanding new prolonged service G codes for Medicare patients.
• Identify new telehealth services available after the end of PHE.
• The speaker will focus on the availability of patient treatment by clinical psychologists, clinical social workers, professional licensed counselors, and licensed marriage and family therapists.

Why Should You Attend:

Staying informed about the CMS Physician Final Rule 2024 is crucial for healthcare professionals and organizations. It is a testament to the commitment to continually improve patient care, promote efficiency, reduce administrative burdens for healthcare providers, expand telehealth services, and focus on quality reporting and value-based care models. The rule’s implications extended to physicians, hospitals, and other healthcare entities.

Who Should Attend:

• Auditors
• Coders
• Billing Staff 
• Coding Staff
• Office Managers
• Insurance payers
• Healthcare Executives 
• Healthcare Providers
• Accounts payable staff
• Denial management staff
• Payment policymakers
• Denial resolution teams
• Compliance officers
• Clinic Managers
• Physician and Non-physician Practitioners
• Nurse Practitioners
• Credentialing & Enrollment Staff
• Insurance Company Claims Reviewers