Medicare introduced multiple new billing opportunities for physician practices in 2024. Mzny of these services focus on patient centered and value added care for Medicare patients. For a patient experiencing continuous ongoing care for a single, severe or complex conditions with the same provider/group, CMS developed code G2211.. This add-on code provides additional payments to providers long term monitoring and developing an ongoing relationship with their patients that may improve outcomes. G2211 has not been without confusion on when and how to report.
Another opportunity for evaluating patients that may have social issues impacting their healthcare CMS intstituted G0136,Social Determinants of Healthcare and G0019 and G0022 Community health integration (CHI) to helping patients overcome these issues. Caregiver training (96202, 96203, 97550, 97551 and 97552) May also improve outcomes for Medicare patients. Lastly Principle Illness navigation (PIN), G0023, G0024, G0140 and G0146 are new billing opportunities for helping patients with diagnosed with high-risk conditions — e.g., cancer, mental health conditions, substance use disorder (SUD) etc identify and connect with appropriate practitioners,providers and services in a timely manner for care and support resources.
Areas Covered in the Session:
Who should attend this:
Jan Rasmussen, PCS, CPC, ACS-OB. Jan is an independent consultant and President of Professional Coding Solutions. She has been involved in coding and reimbursement for over 40 years specializing in physician billing and documentation issues. Jan was previously employed with the State Medical Society of WI as a coding education consultant. In her role as an educator she has developed and presented CPT, ICD, primary care, surgical specialty and audit process seminars. Jan previously served on the Board for Advanced Medical Coding with Decision Health in Rockville, Maryland publishers of Part B News and was a technical editor of the OB/GYN monthly specialty focused “Pink Sheet”.
She has been teaching E/M since 1992 to both physician and coding audiences. As an auditor she has been involved in government PATH audits, Champus and compliance documentation assessments. Jan has been a CPC since 1993 and previously served on the AAPC Advisory Board as the laison to the AMA. In 1994, Jan was honored by AAPC as Networker of the Year. She was slso a Regional Governor for the American College of Medical Coding Specialists (ACMCS).
