2014 CMS Physician Fee Schedule Final Rule

Event Information
Product Format
Prerecorded Event
90 Minute
Product Description

Descriptive Understanding Of MPFS Updates 2014 And Changes In HCPCS And CPT® By Duane C Abbey

Learn about the latest additions and deletions in MPFS for 2014 in this informative 90-minute session with speaker Duane C. Abbey, Ph.D.

Duane will elaborate you on the new and revised codes for CPT®, the changes in RBRVS, HCPCS, new modifiers and Sustainable Growth Rate (SGR).

Duane will also highlight the key topics of the session – policy changes, such as ‘incident-to’ billing and multiple procedures, additions in quality reporting, what’s new for physicians and non-physician practitioners and how are provider-based clinics being affected.

Take a look at the objectives of the session:

  • To review the design of the Medicare Physician Fee Schedule (MPFS) including the RBRVS (Resource Based Relative Value Scale)
  • To briefly delineate the data elements in RBRVS, what they mean and how they can be used
  • To review CPT® coding additions and changes for 2014
  • To examine HCPCS for 2014 including new modifiers
  • To discuss relative value changes and the basis for such changes
  • To explain the impact of MPFS changes for provider-based clinics
  • To discuss policy changes such as ‘incident-to’ billing and multiple procedure discounting
  • To review MPFS incentives such as quality reporting and development of electronic health records (EHR)
  • To review changes for non-physician practitioners (NPPs)
  • To update special areas such as the ambulance fee schedule (AFS) and Durable Medical Equipment
  • To review the involvement of RBRVS with ASCs, CORFs, IDTFs, and CAHs.
  • To recognize sources of information from CMS concerning the MPFS through the Federal Register updating process

Outline of the session:

  • Review of MPFS
    • RBRVS Design
    • Relative Values – Three Components
    • Site-of-Service differential – Provider-based clinics
    • The conversion factor and SGR
    • Calculation of payment under MPFS
    • Types of providers covered by MPFS

  • Coding update
    • CPT®
    • HCPCS
    • Modifiers

  • Relative Value Units (RVUs)
    • Changes in RVUs
    • Underlying data for RVU development
    • Conversions factor and SGR
    • Special versions of RBRVS
  • Policy areas
    • Incident-To billing
    • Non-physician practitioners
    • Complex chronic care
    • Multiple procedures
    • Global Surgical Package (GSP)

  • Special areas
    • Critical access hospitals – Method II billing
    • ASC (Ambulatory Surgical Centers)
    • Ambulatory Payment Classifications (APCs)
    • Associated fee schedules – Ambulance, laboratory and DME
    • Telehealth Services
    • Quality reporting
    • Compliance and coverage issues

  • Sources for information on the MPFS

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About Our Speaker

Duane Abbey Hospital Coding & Compliance Expert

 Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....   More Info
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