Online Training Course

Prod ID: 344
Highlights of CMS Proposed Changes to PFS

Get a head start on strategic planning for next year with details on the proposed changes to the 2023 Physician Fee Schedule (PFS). This information will help you make informed decisions and guide your practice in a positive direction.

CEUs

1

Length

45 min

Price

$119.00

This product is not for purchase at this time.


The Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (PFS) rule for 2023 in July. Gain the facts on the proposed changes and receive information on how to submit comments prior to the final rulemaking.

Key points covered:

  • The expiration of the 3% PFS increase means providers can expect a decrease in PFS in 2023. Possible reweighting of MEI cost shares could also change to payments among PFS services.
  • Other proposals in review will involve split or shared E/M visits, changes to Medicare telehealth, and new HCPCS codes and valuation for chronic pain management.
  • E/M changes could include new descriptor times, revised interpretive guidelines for levels of MDM, and choice of MDM or Time to select code level.

Shawntea Gordon

MBA, FACMPE, CMOM


Shawntea "Taya" Gordon, MBA, FACMPE is the CEO of Atlas & Perpetua Healthcare Consulting, an organization dedicated to enhancing healthcare practices through fractional Chief Revenue Cycle Officer (CRO) services and comprehensive revenue cycle assessments. A recognized subject matter expert in healthcare compliance, organizational governance, process optimization, and revenue cycle management, Taya also serves on the CUMC Bergan Mercy Hospital Community Board.

With extensive experience in senior-level executive roles across private practices, collaborative institutes, and national care coordination organizations, Taya now focuses on educating and consulting healthcare leaders on operational excellence. Her expertise spans performance improvement, quality enhancement, risk reduction, and transitioning to value-based payment models. She also serves as an adjunct professor for the Howard University and University of the District of Columbia’s joint Revenue Cycle Management Course.

Taya is an active voice in healthcare thought leadership. She serves on the Medical Group Management Association's (MGMA) Government Affairs Council and E/M Workgroup, has co-authored two revenue cycle management books for MGMA, and contributed insights to HIMSS Voices of Innovation Publications, a collaboration with the Cleveland Clinic. She is also the co-host of RevDive, one of the nation’s higher-ranked healthcare podcasts.

A sought-after speaker and author, Taya frequently shares her expertise through organizations like HealthLeaders Media, the Practice Management Institute (PMI), MGMA, and Medical Economics. Her leadership has earned her recognition as the Past President of the HIMSS Nebraska Chapter, former Chair of the Membership and Corporate Development Maryland MGMA Chapter, and a Midland Business Journal "40 Under 40" Executives & Entrepreneurs Award Recipient (2019).

Taya is deeply committed to physician advocacy, community outreach, and healthcare process improvement. She has actively participated in government affairs and legislative committees, lobbying for healthcare reform, and supported community initiatives with Habitat for Humanity Omaha.

This session prepares medical practice leaders to prepare for CMS reimbursement changes expected to impact the practice in 2023. 

 Basic knowledge of Medicare reimbursement is beneficial.

 

New revisions are proposed to coding and documentation framework, including E/M code updates from the AMA to reduce administrative burdens. Review 2023 CPT code descriptors like new times, revised interpretive guidelines for level of MDM, and choice of MDM or time to select code level, and the elimination of history and exam to determine code level. If finalized, there would instead be a requirement for a medically appropriate history and exam. And more...

  • Replacement of history and exam to determine code level with a requirement for a medically appropriate history and exam.
  • Telehealth Services have several proposals related to Medicare telehealth services that involve process transitions at the end of the PHE.
  • Learn what's happening in 2023 with behavioral health services, chronic pain management and treatment services, opioid treatment programs, audiology and dental/oral health services.
  • Changes to colorectal screenings include reducing the minimum age payment limitation to 45 years.

 

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

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Comments from past participants:

“Important information for the coming year - good starting points to discuss with providers."

“Excellent! Lots of great information and good insights for preparing for the new year."

“It was extremely informative of the upcoming proposals to the fee schedule."

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