Online Training Course

Prod ID: 344
Highlights of CMS Proposed Changes to PFS

The Centers for Medicare & Medicaid Services (CMS) has released its proposed Medicare Physician Fee Schedule (PFS) rule. Attend this session to learn details n the proposed changes and start preparing for 2022.

CEUs

1

Length

60 min

Price

$99

The conversion factor is scheduled to decrease again, but that is not the only negative factor on provider reimbursement for 2022. Know what you should expect as a result of the past sequester and the PAYGO rule. Nearly all medical practices who bill Medicare for services may feel the squeeze next year.

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.

This session prepares medical practice leaders to prepare for CMS reimbursement changes expected to impact the practice in 2022. 

Gain insight into the fate of telehealth services after the end of the public health emergency. What telephone codes will CMS continue to reimburse? How long will CMS pay for services that appear on the list of temporary Category 3 services?

Significant changes have been proposed for shared services and critical care including the reporting requirements for code 99291. Additional provisions from the rule to be addressed:

  • Penalty phase of the Appropriate Use Criteria (AUC) program
  • Direct payments to physician assistants
  • Time rules for therapy services provided by PT and OT assistants
  • Coverage for pulmonary rehab for COVID impacted patients
  • Teaching physician rules

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

Comments from past participants:

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

“Excellent! Lots of great information on upcoming CY2022 proposed changes.”

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

 

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