Online Training Course

Prod ID: 262
Medicare & Compliance Changes for 2022

CMS released a final rule in November that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS). Gain the facts and keep your practice on track to be in compliance In 2022. Save 25% with this reduced fee ($149) through January 31.

CEUs

3

Length

180 min

Price

$149

On November 2nd CMS released a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2022. Attend this session to gain the facts and learn all you need to know to keep your practice on track and be in compliance on January 1.

Shawntea (Taya) Moheiser

EMBA, CMPE, CMOM


Taya is a subject matter expert in healthcare compliance, organizational governance, process optimization, and revenue cycle management; a Business Analyst and Revenue Cycle SME, H4 Technology, LLC, and Owner, ITS Healthcare, LLC. She has held senior-level executive management positions in private practices, collaborative institutes, and national care coordination organizations, and now educates and consults on all areas of healthcare operations. 

Teaching and consulting topics including performance improvement, quality improvement, risk reduction, and the shift to value-based payment methodologies. Taya also functions as Business Analyst and Rev Cycle SME for H4 Technology, LLC, a Data Management Software as a Service (DMSaaS) organization providing services to hundreds of providers across the nation. A proud member of the MGMA's Government Affairs Council and E/M Workgroup, Taya recently co-authored the new publication Revenue Cycle Management: Don’t Get Lost in the Financial Maze.

Taya received her Executive MBA in Healthcare Management at Creighton University where she graduated Suma Cum Laude. Taya is the current President of the HIMSS Nebraska Chapter, former Chair of the Membership and Corporate Development Maryland MGMA Chapter, and was recognized in 2019 by Midland’s Business Journal as a ‘40 Under 40’ Executives & Entrepreneurs Award Recipient.

The information in this course will benefit providers, office managers, consultants, and compliance officers, and includes information that can be referenced throughout 2022. Downloadable course materials are included with helpful resource links for use beyond the course.

 

This intermediate-level course is best suited for those with knowledge of Medicare reimbursement. No additional resources are required.

The Medicare Physician Fee Schedule rule for 2022 includes another decrease in the conversion factor. The past sequester and the PAYGO rule will also have an impact. In addition, we are seeing the expiration of the temporary 3.75% boost provided by the Consolidation Appropriations act of 2021 (CAA). Providers could face significant cuts in payments next year unless Congress intervenes to supplement the budget. Nearly all medical practices that bill Medicare should expect to feel the squeeze.

Get insight into the fate of telehealth services after the end of the public health emergency. What telephone codes will CMS continue to reimburse? They have retained Medicare Category 3 telehealth services, but how long will they pay for these services that appear on the list of temporary services? CMS intends for the home of a beneficiary to permanently qualify as an originating site and to lift geographic restrictions for mental health telehealth services, and even to allow the use of audio-only technology for certain mental telehealth services. What are the requirements for reimbursements for such services?

CMS plans to further delay penalties for the appropriate use criteria program for advanced diagnostic imaging services and to develop an accurate, stable payment rate for administration of preventative vaccines under Medicare Part B. For the QPP, CMS will transition to digital quality measurement and improve the collection of social determinants of health data. Expect additions to the MIPS eligible clinicians list for 2022, a delay to delay optional MVP reporting, and continuation of the complex patient bonus in addition to significant changes for shared services and critical care.

Highlights:

  • Direct payments to physician assistants
  • Critical care service billing (split/shared visits)
  • Time rules for therapy services provided by PT and OT assistants
  • Coverage for pulmonary rehab for COVID impacted patients
  • Changes to teaching physician rules and NCDs
  • RHC and FQHC mental health visits
  • OUD treatment - new add on code; medications and bundled services
  • Potential expansion to the types of providers whose Medicare enrollment can be denied or revoked
  • Physician Self-Referral and Open Payments Program updates
  • Clarification on the e-prescribing compliance date (Part D)
  • QPP- Details on changes to quality measures and threshold amounts
  • Surprise Billing Provisions in the Consolidated Appropriations Act (eff Jan 2022)
  • Recent additions to the OIG Workplan
  • OCR settlements & HIPAA Right of Access Initiative
  • OSHA emergency temporary standard

Self-paced online program includes unlimited review of recorded lecture and access to downloadable digital companion materials for 6 months.

Comments from past participants:

"Excellent! The instructor was exceptionally knowledgeable and well prepared."

"The instructor did an excellent job explaining the changes and also allowed time for questions."

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