Every year CMS implements new rules for physicians and other providers for the following calendar year. They published the proposed physician rule In July which gave us some insight into what to expect of which many were ultimately implemented in the final rule.
CMS’s final rule published at the beginning of Novermber confirmed implementation of most elements in the proposed rule. The final rule prioritizes the health of the “whole person” by adding significant behavioral health services, expanding providers that can provide behavioral health care and adding new caregiver training services.
Why should you attend :
It is important for providers and staff to know what pieces of the the proposed rule CMS is implementing. The final rule may identify additional billimg opportunities within your practice.
Areas covered in the session:
Who should attend this:
Jan Rasmussen, PCS, ACS-OB, ACS-GI, ACS-GS- As a health care consultant Jan has more than 40 years of experience in physician billing, reimbursement and compliance. Jan is currently the owner of Professional Coding Solutions, a healthcare consulting firm. She has been a Certified Professional Coder (CPC) since 1992 with active membership in the American Academy of Procedural Coders (AAPC). As a member of the AAPC, Jan previously served on their Advisory Board as the liaison to the AMA, has been a speaker for the AAPC annual conference as well as contributing to the development of AAPC’s independent study and university education programs and proficiency tests. In 1994, she was honored by AAPC as Networker of the Year. Jan was also a Regional Governor for the American College of Medical Coding Specialists (ACMCS) serving as Chair of the Ethics committee and a member of the Examination committee.
In her role as a physician consultant, she has participated in physician coding and documentation reviews including OIG government PATH and Champus audits, designed and conducted physician coding seminars nationwide. She has been a guest speaker for several conferences sponsored by United Communications, Inc//Decision Health, ACOG, AAPC as well as Coding Institute Specialty Conferences.
In previous consulting positions she was responsible for developing and conducting seminars for basic, intermediate and advanced ICD-9-CM and CPT, teaching physician guidelines as well as specialty seminars for OB/Gyn, Orthopedics, Urology, Gastroenterology, General Surgery, ENT, Cardiology, Emergency Medicine and Evaluation and Management. In here role as an educator she has been teaching E/M documentation and auditing to both physician and coding audiences since 1992 when RBRVS was first implemented.
Jan has also worked for several major health insurance payers in Wisconsin, was a coding advisor to the WPS Medicare Carrier Advisory Committee and served as the coding and reimbursement coordinator for a 37 provider, staff model HMO clinic. As the coding and reimbursement coordinator, Jan was responsible for physician office, hospital, surgical and nursing facility coding, charge ticket development, fee development, reimbursement analysis, claims analysis and physician education.
