Medicare & Compliance Changes
This intermediate-level course includes new guidelines your practice needs for proper payments and compliance in 2020. CMS has proposed updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1. Other updates include newly proposed guidelines for physician supervision of PAs announced. This change will give PAs greater flexibility to practice more broadly. Changes will also be made to the documentation policy for providers supervising other team members.
- CMS has proposed a series of standard technical proposals involving practice expense and standard rate-setting refinements related to malpractice expense and geographic practice cost indices (GPCIs) and intends to align E/M coding with changes laid out by the AMA’s CPT Editorial Panel.
- Beginning January 1, the new SUPPORT Act will include new coding and payment for a bundled episode of care for management and counseling for Opioid Use Disorder (OUD)
- 2020 PFS conversion factor update
- New HCPCS codes for CCM and increased payment for TCM
- Quality Payment Program updates to MIPS and APMs for 2020
- Changes to the Open Payments national disclosure program
- OCR has announced enforcement progress with HIPAA Right of Access Initiative
- New coding is proposed for Principal Care Management (PCM) services, which would pay clinicians for providing care management for patients with a single serious and high-risk condition
- Updates to the acute kidney injury (AKI) dialysis payment rate for renal dialysis services
- ESRD Quality Incentive Program changes proposed to promote competition, value, and results for dialysis patients
- Review additions to the OIG Work plan including Facet Joint Procedures, DRG Window Policy, Behavioral Health Services provided via Telehealth, and PAP device payments
- The Department of Justice has updated its compliance guidance - healthcare entities take heed!
This course content is best
suited for those with knowledge of outpatient coding and reimbursement. Course materials will be provided with helpful resources and links for use beyond the classroom. No outside materials are required.
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.