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Medicare's Overhaul of Physician Payments - Webinar

  • ID: 4664010
  • Webinar
  • December 2018
  • 90 Minutes
  • Lorman Business Center, Inc.
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Gain an understanding of the updated payment changes reflective in the new year within Medicare restructured specifically for physicians.

Medicare is expected to impose far reaching changes in how physicians are paid starting in 2019. The Centers for Medicare Medicaid Services (CMS) has proposed the first major redo in almost 20 years in how evaluation and management (EM) services will be paid these are an important part of billings for almost all specialties. CMS has proposed to simplify the EM payment structure in ways that will, if adopted as proposed, create winners and loser and be disruptive for many specialties. This rule also contains various changes in the Quality Payment Program (QPP) that will affect physicians that do not participate in Advanced Alternative Payment Mechanisms, which include certain Accountable Care Organizations.

CMS has also proposed various changes to Medicares ACO program the proposals have been criticized as raising the bar for ACOs, making this alternative more difficult for physicians to use to share in savings or avoid payment cuts. Physician practices will thus have to weigh a revised set of options as they seek to avoid payment reductions and secure higher payments for their services. This topic will explore the changes CMS actually adopts for implementation in 2019 and equip participants to understand and react appropriately to these changes.
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Changes in Payment for Evaluation and Management Services
  • Changes in Documentation Requirements
  • Proposals to Simplify the E&M Levels of Payment
  • Add-on Provisions for Particular Physician Services
Other Changes Affecting Physician Payment
  • Global Surgery Periods
  • Payment Rates for Practice Expense Inputs
Changes in the Quality Payment Program
  • Addition, Removal, and Revisions to Measures
  • Increased Weight Placed on Cost Performance Category
  • New Scoring Methodologies for Promoting Interoperability Category
  • What Do the Changes Do to Help Physicians Meet QPP Reporting Requirements and Avoid Payment Cuts?
Changes in Accountable Care Organizations
  • Which ACOs Are Affected and How
  • Toughening up of Requirements to Bear Risk
  • Improvements in Coverage of Services
  • Simplified Reporting Requirements
  • Are ACOs Still a Useful Strategy for Avoiding QPP Reporting Requirements and Possible Payment Reductions?
Summing up
  • Effects of the New Regulations on Physician Practices
  • What Can Physicians Do to Respond?
  • How Will These Changes Affect Companies That Supply Pharmaceuticals, Devices, and Other Inputs to Medical Care
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Thomas Gustafson, PhD - Arnold & Porter LLP, John McInnes, MD, JD - Arnold & Porter Kaye Scholer LLP & Paul Rudolf, MD, JD - Arnold & Porter Kaye Scholer LLP
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This webinar is designed for administrators, chief medical officers, CFOs, quality officers, compliance officers, risk managers, managed care payers, billing managers and attorneys.
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