2 Medicare & Compliance Changes: 2021

Online Training Course

Prod ID: 187
Medicare & Compliance Changes: 2021

This course provides 2021 updates for medical office professionals. Get important physician reporting and reimbursement updates: 2021 Medicare Physician Fee Schedule, OIG Work Plan, QPP, Telehealth, medical practice compliance concerns and more.




180 min



The 2021 Physician Fee Schedule contains numerous payment provision updates and new details on telehealth and remote physiologic monitoring. The major revisions to E/M office and outpatient services will be implemented in 2021 and will be discussed in this program. Course also covers the latest OIG Work Plan additions and other compliance issues that affect healthcare provider offices. Learn about the latest revisions to scope of practice for various providers. Details related to COVID-19 treatment coverage and immunizations will be covered in this program, and much more.

Jan Hailey


Jan Hailey has more than 20 years of experience in healthcare with proficiency in administration, coding, and billing roles. She joined Saint Joseph Physician Network located in Mishawaka, IN as the Director of Quality in November 2015. In 2019, her role transitioned into Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. This transition allowed for her expertise to expand beyond the physician network to lead a comprehensive interdisciplinary team across the health system and work closely with providers, management, staff, community and payers to develop strategies on process improvement, gap closures and patient experience.  

Jan also developed a documentation improvement program and is currently implementing an education program for Hierarchical Condition Category (HCC) coding in order to improve risk scores. She holds four professional certifications in office management, coding, and compliance. She is a member of WPS Medicare’s Provider Outreach and Advisory Group, Indiana Association for Healthcare Quality.

Jan has a passion for teaching and facilitates educational programs nationwide. Prior to joining Saint Joseph, Jan was the Director of Quality, Coding and Compliance for one of the largest health systems in Northern Indiana.

The information in this course will benefit providers, office managers, billers, consultants, and compliance officers.

This is an intermediate-level course. Some knowledge of outpatient coding and reimbursement is assumed. 

The Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (PFS) rule for 2021 and finalized details on December 1. Will they impact your reimbursement? Yes! Every specialty that bills Medicare for services rendered will be impacted.

CMS is implementing the biggest changes in decades to Evaluation and Management documentation guidelines, coding, and reimbursement on January 1. The final rule outlines details on telehealth expansion, improvements to Rural Health and changes to professional scope of practice.

Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

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