Understanding The Medicare Physician Fee Schedule ( For Physicians & Hospitals) - Part 2

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, May 09, 2013
90 Minutes
Product Description

Easy Ways to Understand the Medicare Physician Fee Schedule (MPFS) Rule

MPFS 2013 Update: The CMS has finalized new Medicare coverage for a couple of transitional care management (TCM) codes. These TCM codes are planned to pay a patient’s physician or practitioner to manage the patient’s care in the 30 days subsequent to a hospital or nursing facility stay.

The final 2013 MPFS rule involves a lot of changes when it comes to PQRS, eRX, Physician Value-Based Payment Modifiers, and much more.

Let our seasoned speaker Duane C. Abbey, Ph.D., CFP, help you understand all these changes and strengthen your Medicare Physician Fee Schedule know-how. You get expert guidance on Global Surgical Package, provider-based clinics and RBRVS, hospital payments under RBRVS, sources of information on RBRVS, special organizations like ASCs, IDTFs, CORFs, and much more.

Here are a few highlights of the session:

  • Skinny on pre-operative and post-operative periods, and the pre-operative, intra-operative and post-operative payments
  • Learn the use of “-54”, “-55”, and “-56” Modifiers within global surgical package
  • Know the normal complications and return to operating room concepts
  • Provider-Based Clinics and RBRVS: Learn the difference between freestanding versus provider-based clinics; place of Service and Site of Service Differentia; Economic Advantages for Provider-Based; Special Situations etc.
  • Hospital Payments Under RBRVS: Understand payments for Physical Therapy and Occupational Therapy; concept of Critical Access Hospitals and Related Fee Schedule
  • Understand payments for special organizations such as Ambulatory Surgical Facilities (ASCs), Independent Diagnostic Testing Facilities  (IDTFs), and Comprehensive Rehabilitation Facilities (CORFs)
  • Review    Special Issues -     Physician Supervision, 3-Day Payment Window,     Sustainable Growth Rate (SGR)
  • And, get sources for information on RBRVS

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Who should attend? All hospital or clinic personnel involved with physician coding, billing and claims filing. Hospital personnel involved with provider-based clinics and establishing physician fee schedules. All hospital personnel involved with hospital services that are paid through or involved with RBRVS including CORFs, Physical/Occupational Therapy, ASCs, CAHs and IDTFs. Hospital personnel who need to have a better understanding of the physician payment process under the Medicare program. Chargemaster, coordinators, cost accounting personnel, compliance personnel, physician and clinic directors, non-physician practitioners, clinic network administrators.

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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
More Events By The Speaker

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