Online Training Course

Prod ID: 491
Highlights of CMS Proposed Changes to PFS

Get a head start on planning for 2025! On July 10th, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that outlines proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1.

CEUs

1

Length

60 min

Price

$119.00


Attend this session to learn details in the CY 2025 Medicare Physician Fee Schedule proposed rule. Healthcare compliance and revenue cycle management expert, Taya Gordon, will guide you through a review of key provisions that could impact your practice on January 1 if they are finalized this November. Gain the facts on the proposed changes and learn how to submit comments prior to the final rulemaking. The details discussed in this session will help you make informed decisions and be prepared to help guide your practice in a positive direction.

Key provisions and more will be addressed:

  • Proposed 2.8% decrease to the conversion factor
  • Addition of a new Hospital Inpatient or Observation (I/O) Evaluation and Management (E/M) add-on for Infectious Diseases
  • Expanding the usability of the add-on code G2211
  • New coding and payment for caregiver training for direct care services and supports
  • Broadening the applicability of the transfer of care modifiers for global packages
  • Expanding the definition of Telecommunications System
  • Some temporary telehealth flexibilities become permanent
  • Relaxing direct supervision requirements for certain providers/services
  • Expanding the usability of the add-on code G2211
  • New and modified MIPS Value Pathways (MVPs)
  • Expanded definition of primary care services under MSSP

Taya Gordon

EMBA, FACMPE, CMOM


Shawntea "Taya" Gordon is a subject matter expert in healthcare compliance, organizational governance, process optimization, and revenue cycle management. Having held senior-level executive management positions in private practices, collaborative institutes, and national care coordination organizations, Taya now educates and consults on all areas of healthcare operations. Teaching and consulting topics include performance improvement, quality improvement, risk reduction, and the shift to value-based payment methodologies. Taya also functions as Chief Revenue Cycle Officer for H4 Technology, LLC, a Data Management Software as a Service (DMSaaS) organization providing services to hundreds of providers across the nation.

A proud member of the Medical Group Management Association's (MGMA’s) Government Affairs Council and E/M Workgroup, Taya co-authored the publication: Revenue Cycle Management: Don’t Get Lost in the Financial Maze. Her thoughts on the innovative use of people and IT was included in the HIMSS Voices of Innovation Publication in 2019, coordinated by the Cleveland Clinic. She is also a noted speaker and author for organizations such as HealthLeaders Media, the Practice Management Institute (PMI), MGMA, and Medical Economics.

Taya is the Past President of the HIMSS Nebraska Chapter, former Chair of the Membership and Corporate Development Maryland MGMA Chapter, and was recognized in 2019 by Midland’s Business Journal as a ‘40 Under 40’ Executives & Entrepreneurs Award Recipient.

Passionate about physician advocacy, community outreach, and healthcare improvement processes, she has volunteered in several terms on government affairs and legislative committees lobbying for healthcare improvement and various committees with Habitat for Humanity Omaha.

This session prepares medical practice leaders to prepare for CMS reimbursement changes expected to impact the practice in 2025.
No prerequisites required. Basic knowledge of Medicare reimbursement is beneficial.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

Comments from past participants:

"Important information for the coming year - good starting points to discuss with providers."
"Excellent! Lots of great information and good insights for preparing for the new year."
"It was extremely informative of the upcoming proposals to the fee schedule."

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