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HCCIntelligence™ Live Webinar : 2023 Here We Come! ...
Webinar Slides
Webinar Slides
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Pdf Summary
The provided document outlines significant billing and coding impacts resulting from the CY 2023 Medicare Physician Fee Schedule (MPFS) Final Rule. Key presenters included Paul Chiang, MD, Tammy Browning, PA-C, and Nikki Torres, CCA. The objectives focused on reviewing coding, reimbursement, and policy changes; accurately applying CPT codes for care management services; and complying with documentation requirements.<br /><br />Highlighted changes in Evaluation & Management (E/M) codes include:<br />- Elimination of DOM (domiciliary) codes.<br />- Transition to using only "Home and Residence Services" E/M CPT codes for billing domiciliary, rest home, or custodial care services.<br />- Notable deletions include CPT Codes 99343 and 99326. <br />- New documentation standards do not require specific history and examination elements, only a "medically appropriate" history and exam.<br />- Code selection for 99341-99350 will now be based solely on Medical Decision Making (MDM) or total time, encompassing pre-, during-, and post-encounter time.<br /><br />Telehealth services will continue to receive extended flexibilities through December 31, 2024, permitting various practitioners to provide telehealth and covering audio-only services. The public health emergency's telehealth provisions, like the waiver of the originating site requirement, also remain extended.<br /><br />For Chronic Care Management (CCM), practices must use certified Electronic Health Record (EHR) technology to maintain comprehensive care plans, manage transitions, and coordinate patient health information. Care plans must include elements such as a problem list, expected outcomes, and planned interventions.<br /><br />Transitional Care Management (TCM) services mandate a face-to-face visit, moderate or high MDM, and documentation of discharge and follow-up. Specific TCM services include medication reconciliation, education, and scheduling necessary follow-ups.<br /><br />Practical resources and upcoming webinars, such as on Value-Based Care, are provided by the HCCIntelligence Resource Center.<br /><br />To address specific coding scenarios, examples involved various patient interactions, such as home visits, telehealth consultations, and chronic condition management, to illustrate correct coding practices. These scenarios emphasized accurate documentation and proper timing for establishing medical necessity.<br /><br />For more details on coding, billing, or accessing tip sheets and resources, HCCIntelligence offers hotline support and educational tools.
Keywords
Medicare Physician Fee Schedule
CY 2023
billing
coding
Evaluation & Management
telehealth
Chronic Care Management
Transitional Care Management
CPT codes
documentation
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