Every summer CMS publishes its proposed new physician payment and coding change guidelines for the coming year. On November 1, 2022, CMS published its final rule after reviewing comments from the physician community confirming or changing issues from the proposed rule. In some circumstances, provider comments can influence CMS to deviate from its original proposed guidelines. It is very important for providers and staff to know what items in the proposed rule will move forward to 2023 and to know what CMS has decided not to move forward on in 2023.

The proposed rule issues that were not implemented for 2023 may identify issues still being considered for 2024. This year there are significant changes to EM services and prolonged services that will require a complete change in the way services are coded outside of the office setting as well as new times for determining prolonged services for Medicare patients.

Learning Objectives:-

• The new conversion factor for 2023
• New EM codes and code categories outside of the office setting
• New CMS times associated with EM codes
• New prolonged service G codes for Medicare patients
• Split/Shared care billing
• Colorectal screening guidelines
• Updated telehealth availability
• New monthly chronic care management services
• Availability for patient treatment by clinical psychologists, clinical social workers, professionally licensed counselors, and licensed marriage and family therapists
• Payment for drugs for methadone treatment
• Expanded access to audiology and dental/oral health services
• Possible changes to “skin substitutes” in 2024

Areas Covered:-

• Will CMS’s new conversion factor for 2023 affect your bottom line
• Correct coding of EM services outside of the office setting
• Changes to colorectal cancer screening guidelines
• How shared care will change or not change for 2023
• Identify new telehealth services available after the end of PHE
• Consider how the role of clinical psychologists, clinical social workers, professionally licensed counselors, and licensed marriage and family therapists may improve access to behavioral health services
• New monthly codes and strategies for chronic pain management
• Understand new payment methodology for Methadone treatment drugs
• Review finalized guidelines for patient access to audiology services and dental oral health care.
• Understand new payment and classification of wound care management products.

Background:-

Annually CMS publishes its final rule for physician practices outlining new policies, codes, coding guidelines, and fee schedules This rule is a must for physician offices to read and be aware of all the changes within the CMS system.

Why Should You Attend:-

All providers and offices that bill Medicare or Medicaid for services must stay current on CMS yearly changes. This program will detail all those changes.

Who Should Attend:-

• Providers
• Coders
• Office managers
• Reimbursement managers
• Denial staff
• Audit staff