Online Training Course

Prod ID: 448
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 2024 Physician Fee Schedule (PFS). This information will help you make informed decisions and guide your practice in a positive direction.

CEUs

1

Length

58 min

Price

$119.00

This product is not for purchase at this time.


In this session presented by Revenue Cycle Management expert and healthcare consultant, Taya Gordon, learn about updates to the conversion factor and proposed increases in payment for primary care and other kinds of direct patient care. Significant proposed changes include payments for caregiver training services, and for services involving community health workers, care navigators, and peer support specialists - an effort to better recognize costs associated with patient-centered care and to improve equity, inclusion, and access to care for Medicare patients in underserved and low-income communities. CMS is proposing to implement a separate add-on payment for healthcare common procedure coding system (HCPCS) code G2211, which Congress prohibited before January 1, 2024. Additional provisions addressed include:

  • Coding and Payment for Social Determinants of Health risk assessments
  • Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
  • Preventive vaccine administration services under Part B
  • Expansion of eligible clinicians providing Behavioral Health Services
  • Supervision Policy for PTs and OTS in private practice
  • Payment for Diabetes Self-Management Training (DSMT) Services
  • Pausing efforts to implement the AUC for Advanced Diagnostic Imaging Program
  • Medicare and Medicaid provider enrollment
  • Drugs and Biologicals Payable Under Medicare Part B
  • Payment for certain dental services linked to other covered services used to treat cancer
  • Updates to Electronic Prescribing for Controlled Substances (EPCS)
  • Medicare Shared Savings Program-related proposals

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 2024. 

No prerequisites required. Basic knowledge of Medicare reimbursement is beneficial.
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 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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