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Home > Audio Learning Center > Medicare & Compliance Changes

Medicare & Compliance Changes

Date:Tuesday, December 18, 2018
Time:12 noon to 1:30 p.m. Central Time
Course fee:$199
Presented by: Lisa Maciejewski-West, CMC, CMIS, CMOM, MCS-P

Webinar/Audio Conference FAQs

Attend this webinar session to learn the latest compliance updates and changes to payment policies, rates, and quality-related provisions for physician services furnished under the Medicare Part B Physician Fee Schedule in 2019. Gain the facts on the most current documentation requirements for E&M visits. CMS has proposed significant changes to E/M coding and documentation standards. Learn which, if any, are adopted in the final rule to determine what course of action your practice should take in response.

This program will provide you with important physician reporting and reimbursement information relevant to Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payment Systems (MIPS), and Alternative Payment Models (APMs). In 2019, eligible clinicians will be paid for Medicare Part B services under the Quality Payment Program (QPP) based on 2017 reporting activities. Changes to MIPs include general performance category weights and increases to cost performance weight and performance thresholds.

Other changes will leverage technology and advance virtual care to reduce costs and administrative burdens. Learn more good news about lower drug costs and EHR interoperability. Telehealth changes for 2019 indicate a new interpretation by CMS of statutory requirements regarding reimbursement for these services.

Highlights:

  • CMS allows Medicare Advantage plans the option of negotiating for Part B drugs
  • 4-year phase-in of new supply and equipment prices impact Practice Expense RVUs
  • Exemptions to QPP will be expanded with the ability for clinicians to opt-in
  • OIG Work plan - post-op services in the global period and billing for critical care E/M services

Continuing Education Units (CEUs)

PMI CEU APPROVED Earn 1.5 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).

If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.


Please read below before completing your webinar registration.

Have you heard about PMI's TOTAL ACCESS Webinar subscription program? TOTAL ACCESS puts a full library of training in the hands of your entire staff for a monthly fee of just $249. TOTAL ACCESS is the newest way to develop your own talent, without leaving the office to attend training classes. It's also the fastest way to bring both experienced and new staff up-to-date on current issues.

Sign up now and you'll receive this webinar plus the following benefits for as long as you subscribe: access codes to all upcoming live webinars and unlimited access to the TOTAL ACCESS Library, more than 300 hours of on-demand, pre-recorded training sessions on over 100 topics relevant to medical office coding, billing, compliance, management, front desk, and much more. It's a GREAT VALUE!

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About the Presenter

Lisa has been involved in the medical billing, management and consulting field since 1982. In 2006, she founded Gold Star Medical Business Services, an award winning company that provides remote billing services for physicians in small to medium sized individual and group practices. Prior to starting Gold Star Medical, she worked for one of the largest Practice Management consulting firms in the country.

For 10 years, she has consulted with hundreds of doctors as a practice management coach, and spoken at over 100 seminars throughout the United States, both as a teacher and motivational speaker. Lisa also provides comprehensive practice management consulting, credentialing and compliance auditing services.

Lisa holds three PMI certifications and is a board certified MCS-P (Medical Compliance Specialist -Physician). She is PMI’s Director of Business Development for the West Central Texas region. She is also an adjunct instructor with the Angelo State University Small Business Development Center, and teaches a variety of business classes to new and prospective business owners.



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