CMS Final Rule 2024


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, many were ultimately implemented in the final rule.

CMS’s final rule, published at the beginning of November, confirmed the 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 proposed rule CMS is implementing.  The final rule may identify additional billing opportunities within your practice.

Areas covered in the session:

  • New conversion factor for 2023
  • Implementation of code G2211 previously introduced in 2021 but delayed
  • New add-on code for evaluating patients with possible social determinants of health that can add risk to treatment of acute or chronic conditions
  • New billing opportunities for caregiver training, principal illness navigation care, and community integration services
  • Shared care for 2024
  • Proposed updated telehealth availability and flexibilities
  • Behavioral health service changes to include expanded billing opportunities for marriage and family therapists and mental health counselors as well as addiction counselors
  • Expanded payment for psychotherapy crisis interventions
  • Expansion of DSMT and MNT services provided by outpatient providers for patients in their home
  • Additional payment for Medicare-recognized immunizations is provided to patients in their homes.
  •  New direct versus general supervision rules for certain providers and specific services.
  • Expansion of RHC and FQHC billing opportunities

Who should attend this:

  • Providers
  • Coders
  • Office Managers
  • Reimbursement managers
  • Denial management team
  • Compliance officers
  • Auditors

Jan RasmussenPCSACS-OB, ACS-GI, ACS-GS- As a healthcare 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 contributed 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, and 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. 

$189.00

Webinar Variants

$189.00

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