Medicare Updates for 2021
Expert Insights on the CMS Medicare Coding Updates
Each year CMS/Medicare proposes policy changes for Medicare Payments under the Physician Fee Schedule(PFS) that are finalized by early December. Items such as the conversion factor are a part of this much-anticipated document along with other changes that affect payment to providers from Medicare in a variety of situations.
The Final Rule for the PFS was released and addressed a significant number of items. Many of the waiver items that we are currently working under are continued through the end of the calendar year in which the Public Health Emergency (PHE) ends or December 31, 2021. Details of each and any exclusions or omissions will be discussed including a new Category of Telehealth codes.
For 2021, there are significant changes to Office & Other Outpatient Services with the re-defining of 99201-99215 by the AMA. CMS/Medicare has released code numbers and additional information regarding their position on these codes including Prolonged Service codes.
The continuation of or lack thereof regarding waivers and specific services that are currently in use during the Public Health Emergency (PHE) is important information for offices. Planning for 1-1-21 and what options both a primary care office and a specialty office would have regarding their patients requires information that is contained in the Medicare PFS Final Rule for 2021. The objective of the webinar is to identify which of these services and waivers are available for providers in the new year and also after the end of the Public Health Emergency. Understanding CMS/Medicare’s position on some new codes that have been released by the AMA in CPT is as important to providers in looking ahead to what their practice model is in 2021.
- Telehealth Visits
- Which codes are being permanently added to the list of Category 1 services
- What is Category 3 telehealth codes
- Which codes are being added to this new category
- Skilled nursing facilities frequency limitation changes for 2021
- Services by PT, OT, SLP and some mental health professionals have new codes to work with in their remote revaluation of patients
- Medicare ‘s position on Audio only calls outside the PHE
- Clarifications to Remote Physiologic Monitoring Services
- Continuation of waiver allowing certain Other Qualified Health Care Professionals to supervise diagnostic tests
- Clarifications to the Visit Complexity code
- Comments on modifications to the documentation requirements of physicians
Who Should Attend
Coders, Billers, Office Managers, Practice Managers, NP’s and PA’s
Jill M. Young
|Apr 21, 2022||Clinical Plagiarism – Is Your Provider’s Documentation Putting Your Practice at Risk?||60 Mins||$199.00|
|Mar 15, 2022||Billing for Physician Assistants in 2022 – During the PHE and with Updated Medicare Guidelines and New Split Shared Guidelines||90 Mins||$199.00|
|Feb 01, 2022||Billing for Nurse Practitioners in 2022 – During the PHE and with New Split Shared Guidelines||120 Mins||$199.00|
|Jan 20, 2022||Medicare Updates for 2022||60 Mins||$199.00|
|Jan 10, 2022||Billing for NPP (Nurse Practitioners & Physician Assistants) in 2022||180 Mins||$349.00|
|Dec 02, 2021||CPT Coding Updates for 2022||60 Mins||$19.99|
|Oct 19, 2021||2022 ICD 10 CM Diagnostic Coding Updates||60 Mins||$9.99|