Exploring the 2025 Medicare Physician Fee Schedule: A Comprehensive Webinar Series
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From: $119.00
Date: December 17th, 2024
Time: 1pmET | 12pm CT | 11am MT | 10am PT
Duration: 240 Minutes
In this webinar series we will explore the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule, delving into its most significant provisions.
Session 1 – CMS CY 2025 Proposed Rules
Duration 60 minutes
The Centers for Medicare & Medicaid Services (CMS) have released the Calendar Year (CY) 2025 proposed rules.
In Part 1 of our 4-part series, Our speaker Martie Ross and Kathy Reep covered the following proposed rules:
- CY25 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates
- CY25 Changes to the End-Stage Renal Disease (ESRD) PPS and Quality Incentive Program
- CY 2025 Home Health PPS Rate Update and Home Infusion Therapy and Home IVIG Services Payment Update
In addition, Martie and Kathy discussed two recently published final rules (the Cures Act Final Rule and the Consumer Financial Protection Bureau Final Rule) and the impact of recently published Supreme Court decisions, including Loper Bright Enterprises (overruling Chevron deference to administrative agencies).
Session 2 – 2025 Proposed Rules Part – MPFS
Duration : 60 minutes
Our speaker Miriam Murray, Valerie Rock, and Martie Ross covered the following topics from the proposed rule:
- 2025 payment rate reduction
- Deadline for reporting overpayments
- Advanced primary care management payments
- Telehealth
- Rural health clinics and federally qualified health centres
Session 3- 2025 Proposed Rules – MPFS
Duration : 60 minutes
Our Speaker Kimberly Campbell, Katie Croswell, Carine Leslie, Brian Raabe, and Valerie Rock covered these proposals:
- Global surgery payment accuracy
- Evaluation & management services (including HCPCS G2211)
- New reimbursement for preventive services
- Digital therapeutics for behavioral health
- Supervision of outpatient therapy services
- Opioid treatment programs
- Skin substitutes
Session 4 – 2025 Proposed Rules Part 4
Duration : 60 minutes
Our Speaker Sarah Bowman, Katie Croswell, Lori Foley, and Martie Ross will wrap up the four-part series, focusing on the following topics:
- Quality Payment Program (MIPS)
- Medicare Shared Savings Program
- SDOH-related services
- Clinical Laboratory Fee Schedule payment reductions
Speaker
Martie Ross
Consulting Principal, Office Managing Principal, Kansas City, and Director of Center for Rural Health Advancement. Following a successful two-decade career as a healthcare transactional and regulatory attorney, Martie now serves as a trusted advisor to providers navigating the ever-expanding maze of healthcare regulations. Her deep and wide understanding of new payment and delivery systems and public payer initiatives is an invaluable resource for providers seeking to strategically position their organizations for the future.
Lori Foley
Managing Principal of Revenue & Compliance Advisory and Office Managing Principal, Atlanta.
Lori leads Compliance and Business Support & Improvement services and is a member of PYA’s Value Transformation Team. She combines industry experience in managing multiple hospital-owned practices with nearly two decades of consulting experience advising physicians, and organizations affiliating with physicians, in the areas of compensation, strategic planning, operational and financial improvement, and affiliation structures.
Sarah Bowman
Sarah is a proven healthcare executive with operational process redesign and leadership expertise. Working as a subject-matter expert, she provides advisory services in the areas of revenue integrity, revenue management, and regulatory compliance. Within the revenue integrity space, her work often involves the integration of coding and reimbursement into physician/hospital financial and strategic modeling, business valuations, physician compensation, and productivity assessments.
Miriam B. Murray
Miriam holds more than 25 years of healthcare compliance and healthcare privacy compliance experience and is certified in both fields. Her expertise lies in assisting physician practices, hospital systems, assisted living/skilled nursing/long-term care, outpatient rehabilitation, and third-party billing service organizations with the development and implementation of programs and processes focused on healthcare compliance and privacy.
Carine Leslie
Carine brings over a decade of experience in coding and documentation compliance to the firm’s Compliance Advisory team. She is a subject matter expert in ICD-10-CM/PCS, CPT-4, HCPCS, inpatient, hospital outpatient, physician Evaluation and Management (E/M) coding, and Clinical Documentation Improvement (CDI).
Kimberly Campbell
Kimberly has more than ten years of experience in surgical and hospital coding, billing, and clinic management. Kimberly’s expertise comes from working in a range of healthcare settings including lead specialty coder, patient technician, and assistant clinic administrator. With multiple certifications including Professional Coder (CPC), Professional Medical Auditor (CPMA), Outpatient Coder (COC), Inpatient Coder (CIC), Orthopedic Surgery Coder (COSC), and Evaluation and Management Coder (CEMC), Kimberly serves as a subject matter expert to PYA’s clients, advising them in CPT, ICD-10-CM, hospital outpatient, and physician Evaluation and Management (E/M) coding, billing, reimbursement, and auditing.
Katie Croswell
Katie has a decade of experience building and managing client healthcare compliance programs based on OIG and CMS guidelines. She has extensive experience conducting compliance risk assessments and building and managing coding auditing programs for various healthcare organizations.
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