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.

CEUs

3

Length

180 min

Price

$239.00

This product is not for purchase at this time.


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

MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M


Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program. 

Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.

Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.

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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