Regulatory Update July 2016 by Steven Lash

Category: Others/ Misc

Presentation Description

Most awaited Regulatory update of July 2016 by Mr Steven Lash.You can leave your comment and ask as many as questions for any further regulatory update.


Presentation Transcript

Regulatory Update July 2016 by Steven Lash :

Regulatory Update July 2016 by Steven Lash

Regulatory Update:

Regulatory Update MACRA aka Quality Payment Program ( QPP) MACRA Rules have been analyzed A QPP team has been established to create a strategy and business plan including items for road map Waiting on publication of CPC+ Healthcare Information Technology Discussion that QPP will be delayed until July 2017 CMS reported that only 275,000 Medicare patients were participating in CCM in 2015

2017 Preliminary Rulemaking for Physician Fee Schedule (PFS):

2017 Preliminary Rulemaking for Physician Fee Schedule (PFS) Published July 7, 2017; Final Rules published late October/early November P roposed conversion factor drops very slightly for 2017 In 2016 it was $35.8043 It 2017 it will be   35.7751   $ 42 becomes $ 41.94 PMPM.  CMS proposes to add two new CCM codes 99487 – Complex chronic care management services Same criteria as 99490 60 minutes  of clinical staff time RVU reimbursement is 60% higher than 99490 99489 –  Each additional 30 minutes  of clinical staff time I n addition to the CPT code for primary procedure Slightly less reimbursement than the base code

2017 Rulemaking- continued:

2017 Rulemaking- continued Waive the face-to-face visit requirement M entioned to CMS in April that it should eliminated as this hinders growth If physician does enroll patient during a complex visit then the physician will receive additional reimbursement Clarifying and narrowing the 24/7 access standard eliminated the necessity for this beyond current practice Clarifying the transitions of care standard Loosening the standard so no longer required electronically Removing the written consent form requirement Will make enrolling quicker and easier Eliminated the direct supervision requirement for Rural Health Centers (RHC) and Federally Qualified Health Centers (FQHC)

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