Online Training Course

Prod ID: 414
Medicare & Compliance Changes for 2023

Learn about changes to Medicare and compliance guidelines and the potential impact on your practice's revenue in 2023 and make informed decisions for the new year.

CEUs

3

Length

161 min

Price

$199.00

Course Highlights:

  • Medicare telehealth services will likely undergo process transitions at the end of the PHE. The expiration of the 3% PFS increase means providers can expect decreased reimbursement in 2023. Possible reweighting of MEI cost shares could also change to payments among PFS services. Other changes involve split or shared E/M visits and new HCPCS codes and valuation for chronic pain management.
  • More E/M changes in 2023 are in place to reduce administrative burdens. These changes could include new descriptor times, revised interpretive guidelines for levels of MDM, and choice of MDM or Time to select code level. A medically appropriate history and exam would replace history and exam to determine code level. The AMA has also revised the coding and documentation framework.
  • Review changes to the 2023 CPT code descriptors like new times, revised interpretive guidelines for the level of MDM, 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.

 

Linda D'Spain

CMPE, CMC, CMIS, CMOM, CMCO, CMCA-E/M


Linda is President of her medical practice management consulting firm, D'Spain Consulting. She travels the country conducting national seminars, workshops and webinars and consulting with physician practices, hospitals and medical societies on healthcare reimbursement, documentation guidelines, procedural and diagnostic coding, financial management, human resources, medical office management and compliance with fraud and abuse, OSHA, and HIPAA. She has also served as an Independent Review Organization (IRO) for the Office of the Inspector General and consulted for the Texas Medical and Dental Boards.

With more than 30 years of experience in medical practice management, Linda has managed cardiology, cardiothoracic, vascular surgery, physical therapy, orthopedics, pediatric orthopedics, gynecology and reproductive endocrinology and large multispecialty group practices. She maintained broad responsibilities in business and clinical operations, financial management, governance and organizational dynamics, human resource management, marketing, customer service, compliance, information system management, mergers and acquisitions and risk management.

Linda has attained all five PMI certifications. She also has a degree in Business Administration and is a Board Certified Medical Practice Executive through the American College of Medical Practice Executives, a member of the San Antonio Medical Group Managers Association (MGMA) and has served as an advisory board member with PMI.

This information will enable you to make informed decisions and guide your practice in a positive direction in 2023.

This is an intermediate-level course designed for medical office coders, billers, auditors, clinicians, and practice managers. Basic knowledge of provider billing and compliance processes is expected.

Learn about changes to Medicare and compliance guidelines and the potential impact on your practice's revenue in the coming year. This information will enable you to make informed decisions and guide your practice in a positive direction in 2023.

Medicare telehealth services will likely undergo process transitions at the end of the PHE. The expiration of the 3% PFS increase means providers can expect decreased reimbursement in 2023. Possible reweighting of MEI cost shares could also change to payments among PFS services. Other changes involve split or shared E/M visits and new HCPCS codes and valuation for chronic pain management.

More E/M changes in 2023 are in place to reduce administrative burdens. These changes could include new descriptor times, revised interpretive guidelines for levels of MDM, and choice of MDM or Time to select code level. A medically appropriate history and exam would replace history and exam to determine code level. The AMA has also revised the coding and documentation framework.

Review changes to the 2023 CPT code descriptors like new times, revised interpretive guidelines for the level of MDM, 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.

Self-paced online program includes unlimited review of previously recorded instruction and downloadable digital materials for 6 months.

Comments from past participants:

“Clear and concise. Easy to listen to and very informative.”

“Lots of information to absorb. I appreciate having the presenter go over some of the highlights.”

“Excellent content and a wonderful instructor.”

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