2024 Physician Payment Final Rules: Find out What CMS has Finalized from the Proposed Rules

Event Materials (Key Required)

Course Description

It is once again time to take a look at CMS’s final physician payment rules, guidelines, additional benefits and coding change guidelines for the coming year. CMS publishes the final rule in early November every year to give providers and payers a chance to prepare for changes taking effect January 1st. It is very important for providers and staff to be prepared for these changes and know how they will affect their practices. A primary consideration is how to implement new billing opportunities and what documentation to necessary to support those services. This year many services previously reviewed or implemented in 2023 have been extended through 2024.

Learning Objectives

• Will CMS’s new conversion factor for 2024 affect your bottom line
• How shared care will change for 2024
• Understand CMS definition of “substantive portion” to report shared care
• Identify telehealth services available after 12/31/2023 and extension of telehealth originating sites as well as payment policies for patients located in their home using telehealth services
• Know what providers are valid telehealth providers according to new CMS guidelines
• Once again review the role of clinical psychologists, and clinical social workers, professional licensed counselors and licensed marriage and family therapists in improvements to access to behavioral health services in addition to delaying the requirement for an in-person visit with the physician or practitioner within six months prior to initiating mental health telehealth services
• New codes and payment for caregiver training  
• Know the impact and payments for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services
• Examine proposed changes to elements of the Annual Wellness Visit
• Identify additional payment opportunities by understanding and billing new code G2211 originally introduced in 2021 but never implemented
• Review the definition of “direct supervision” allowed until 12/31/2024 for providers and teaching physicians
• New guidelines for DSMT and MNT services provided by outpatient providers for patients in their home
• Addition of addiction counselors as mental health counselors (MHC)
• New supervision guidelines for PT and OT assistants

Areas Covered in the Session

• New conversion factor for 2024
• New G2211
• New services for Community Health Integration, social determinants of health risk assessment (SODH) and principal illness navigation services
• Splits/Shared care
• Updated telehealth availability and flexibilities
• Behavioral health service changes
• RHC and FQHC new billing opportunities
• DSMT and MNT services provided by outpatient providers for patients in their home
• Direct versus general supervision
• Live Q&A session

Suggested Attendees

• Healthcare Executives – CEOs, CFOs, COOs,
• Healthcare Providers
• Billing Staff 
• Coding Staff
• Office Managers
• Reimbursement managers
• Auditors
• Insurance payers
• Coders
• Accounts payable staff
• Denial management team
• Payment policymakers
• Denial resolution teams
• Compliance officers
• Clinic Managers
• Physician and Non-physician Practitioners
• Nurse Practitioners
• Credentialing & Enrollment Staff
• Insurance Company Claims Reviewers

About the Presenter

Jan Rasmussen, PCS, ACS-OB, ACS-GI, – As a healthcare consultant Jan has more than 35 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 Campus 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, 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 special seminars for OB/Gyn, Orthopedics, Urology, Gastroenterology, General Surgery, ENT, Cardiology, Emergency Medicine and Evaluation and Management. In her 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.

Additional Information

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com 

This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

Purchase Order Form - Click Here to download PO form. 

Snippet From Our Previous Session

Testimonials