HCCIntelligence™ Recording : 2023 Here We Come! Billing & Coding Impacts You Need To Know

Webinar Slides

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The webinar "2023 Here We Come! Billing & Coding Impacts You Need to Know" by HCCIntelligence discussed significant changes to the Medicare Physician Fee Schedule (MPFS) for 2023, focusing on billing and coding revisions affecting home-centered care. Key presenters included Paul Chiang, MD, Tammy Browning, PA-C, and Nikki Torres, CCA. <br /><br />Objectives:<br />1. Review the impacts from CY 2023 MPFS Final Rule on coding, reimbursement, and policies.<br />2. Correctly apply CPT codes for care management services.<br />3. Understand documentation requirements to ensure coding compliance.<br /><br />Key Agenda Points:<br />1. Evaluation & Management (E/M) and Payment Impacts - Domiciliary codes are deleted, replaced by home and residence service codes.<br />   - New patient codes: 99341-99345; deleted 99343.<br />   - Established patient codes: 99347-99350; deleted 99326.<br />   - Documentation requires "medically appropriate" history and exam.<br />   - Emphasis on Medical Decision Making (MDM) or total time for code selection.<br /><br />2. Prolonged Services - New thresholds for reporting prolonged services include codes G0318 for Home/Residence Visit.<br />   <br />3. Telehealth - Telehealth flexibilities extended through December 31, 2024.<br />   - Practitioners expanded for telehealth services.<br />   - Waiver extensions for originating sites and coverage for audio-only services.<br /><br />4. Advance Care Planning (ACP) - Codes 99497 and 99498 with adjusted fee schedules.<br /><br />5. Chronic Care Management (CCM) Requirements<br />   - Comprehensive electronic care plans.<br />   - Two or more chronic conditions needed for CCM services.<br />   - Structured recordings through certified Electronic Health Record technology.<br /><br />6. Transitional Care Management (TCM) - Service codes 99495 (moderate MDM) and 99496 (high MDM).<br />   - Requires post-discharge face-to-face visit within specific timelines.<br />   - Documentation supporting overall MDM complexity.<br /><br />Additional Resources:<br />- Guidance on using structured EHR templates, and care management for chronic conditions.<br />- Tools and Tip Sheets provided include Home Visits E/M Guide, CCM Care Plan Requirements, and TCM Visit Requirements.<br /><br />Upcoming Events:<br />- Webinar on "Value-Based Care" on March 22, 2022, presented by Christopher Dodd, MD.<br /><br />Contact and further resources are available via the HCCIntelligence Resource Center.

Keywords

Medicare Physician Fee Schedule

billing and coding

home-centered care

Evaluation & Management

Telehealth flexibilities

Advance Care Planning

Chronic Care Management

Transitional Care Management

documentation requirements

care management services