On November 2nd CMS released a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2022. Attend this session to gain the facts and learn all you need to know to keep your practice on track and be in compliance on January 1.
The Medicare Physician Fee Schedule rule for 2022 includes another decrease in the conversion factor. The past sequester and the PAYGO rule will also have an impact. In addition, we are seeing the expiration of the temporary 3.75% boost provided by the Consolidation Appropriations act of 2021 (CAA). Providers could face significant cuts in payments next year unless Congress intervenes to supplement the budget. Nearly all medical practices that bill Medicare should expect to feel the squeeze next year.
Get insight into the fate of telehealth services after the end
of the public health emergency. What telephone codes will CMS continue to
reimburse? They have retained Medicare
Category 3 telehealth services, but how long will
they pay for these services that appear on the list of temporary
services? CMS intends for the home of a beneficiary to permanently
qualify as an originating site and to lift geographic restrictions for mental
health telehealth services, and even to allow the use of audio-only technology
for certain mental telehealth services. What are the requirements for
reimbursements for such services?
plans to further delay penalties for the appropriate use criteria program
for advanced diagnostic imaging services and to develop an accurate, stable
payment rate for the administration of preventative vaccines under Medicare Part B.
For the QPP, CMS will transition to digital quality measurement and improve the
collection of social determinants of health data. Expect additions to the MIPS
eligible clinicians list for 2022, a delay to delay optional MVP reporting, and
continuation of the complex patient bonus. Significant
changes are proposed for shared services and critical care including the
reporting requirements for code 99291.
Take a guided tour of these and other changes for 2022 that will
directly impact provider reimbursement and/or healthcare compliance in the new
- Direct payments to physician
- Critical care service billing
- Time rules for therapy services
provided by PT and OT assistants
- Coverage for pulmonary rehab
for COVID impacted patients
- Changes to teaching physician
rules and NCDs
- RHC and FQHC mental health
- OUD treatment - new add on
code; medications and bundled services
- Potential expansion to the
types of providers whose Medicare enrollment can be denied or revoked
- Physician Self-Referral and
Open Payments Program updates
- Clarification on the
e-prescribing compliance date (Part D)
- QPP- Details on changes to
quality measures and threshold amounts
- Surprise Billing Provisions in
the Consolidated Appropriations Act (eff Jan 2022)
- Recent additions to the OIG
- OCR settlements & HIPAA
Right of Access Initiative
- OSHA emergency temporary
Continuing Education Units (CEUs)
Earn 3 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.