Podcasts about medicare physician fee schedule

Play Episode Listen Later Aug 4, 2025 2:36

In the third episode of this series, Dr. Andy Southerland discusses the latest Capitol Hill Report, which outlines the 2026 Medicare fee schedule proposal. Stay updated with what's happening on the hill by visiting aan.com/chr. Learn how you can get involved with AAN advocacy.

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Digital Health Provisions in the 2026 Physician Fee Schedule

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Play Episode Listen Later Jul 31, 2025 14:13

This week in the Breakroom, Rachel Stauffer and Rachel Hollander join Maddie News to take a deep dive into the digital health and telehealth proposals in the Medicare Physician Fee Schedule. Read more in this week's Regs & Eggs blog post.

2026 Proposed Medicare Physician Fee Schedule

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Play Episode Listen Later Jul 17, 2025 20:36

This week in the Breakroom, Jeffrey Davis and Rachel Hollander join Maddie News to break down major payment policies in the 2026 Medicare Physician Fee Schedule proposed rule. Read more in our regs & eggs blog post.

SOAP: Development of the Medicare Physician Fee Schedule

ACRO Podcast

Play Episode Listen Later Jan 2, 2025 32:02

ACRO's SOAP (Spotlight on Advocacy and Policy) Podcast provides public policy awareness to the radiation oncology community. During this episode, our hosts Drs. Tarita Thomas and Anna Brown of the ACRO Government Relations & Economics Committee (GREC) discuss the development of the Medicare Physician Fee Schedule with Dr. Paul Wallner, fellow GREC member, Teri Bedard, Revenue Cycle Coding Strategies, and Jason McKitrick, Liberty Partners Group.

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CMS Releases Final 2025 Physician Fee Schedule - Part 3

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Play Episode Listen Later Dec 4, 2024 2:59

In part three of this three-part series, Dr. Jason Crowell and Max Goldman discuss potential legislative actions affecting the 2025 Medicare Physician Fee Schedule. Show references: Fee for Service Page Webinar sign up link Full Physician Fee Schedule Final Rule

CMS Releases Final 2025 Physician Fee Schedule - Part 1

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Play Episode Listen Later Dec 2, 2024 3:11

In part one of this three-part series, Dr. Jason Crowell and Matt Kerschner discuss the key updates and changes to the Medicare Physician Fee Schedule for 2025. Show references: Fee for Service Page Webinar sign up link Full Physician Fee Schedule Final Rule

Quick Tip: Navigating Medicare 2025 Challenges

TMA Practice Well

Play Episode Listen Later Nov 21, 2024 5:46 Transcription Available

Welcome to this episode of the TMA Practice Well podcast, hosted by Cheryl Krhovjak, Director of the TMA Education Center. In this insightful discussion, we are joined by Robert Bennett, TMA Vice President of Medical Economics, to delve into the significant impact of Medicare 2025 physician fee schedule. With over 65 million beneficiaries, Medicare is a key player in health care, and its spending is projected to surge in the coming years. Robert highlights the recent updates in the 2025 Medicare Physician Fee Schedule, including anticipated reductions in conversion factors unless Congress intervenes. This episode underscores the challenges faced by health care practices due to administrative burdens and payment cuts, which threaten patient access to physicians. The episode also discusses legislative efforts such as the Medicare Payment Access and Practice Stabilization Act of 2024 and the Strengthening Medicare for Patients and Provider Act, aimed at stabilizing physician payments and ensuring fair inflationary updates. Listeners are encouraged to advocate for these changes to protect their practice and patients. Additionally, discover the resources offered by the Texas Medical Association, including the Physician Payment Resource Center, to assist Texas physicians in navigating billing, coding, and payment challenges. Tune in for actionable insights and tips to help your practice thrive in the evolving healthcare landscape. Medicare Payment Reform Center Medicare Patient Outreach Flyer Physician Payment Resource Center (PPRC) 2025 Medicare Physician Fee Schedule Ondemand Webinar

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How the Medicare Physician Fee Schedule Will Impact Family Caregivers w/ Jason Resendez

Health Affairs This Week

Play Episode Listen Later Nov 15, 2024 22:34

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers is joined by Jason Resendez, President and CEO of the National Alliance for Caregiving, to discuss the recent finalization of CMS's 2025 Medicare Physician Fee Schedule and how these policies will impact family caregivers and the integration of these individuals into the health care system. Health Affairs's Research and Justice For All podcast returns for its second season, focusing on drivers of health. Check out the first episode. Check out the 200th episode of A Health Podyssey featuring Leemore Dafny of the Harvard Business School discussing vertical integration. Join Health Affairs on November 20 for a virtual event with John Bowblis examining how the loss of public health emergency funds challenges the financial viability of nursing homes.Related Articles:PRESS RELEASE: HHS Finalizes Physician Payment Rule Strengthening Person-Centered Care and Health Quality Measures 11/20/2024: Caregiver Nation Summit (Agenda and Virtual Attendance Options) Subscribe to UnitedHealthcare's Community & State newsletter.

Newsworthy OIG Work Plan for October 2024, Trusty Tip on 2025 Medicare Physician Fee Schedule, and Mahatma Gandhi's Spark

Paint The Medical Picture Podcast

Play Episode Listen Later Nov 13, 2024 16:18

Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 4 Years: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://blog.feedspot.com/medical_billing_and_coding_podcasts/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Sonal's 13th Season starts up and Episode 11 features a Newsworthy update on the OIG Work Plan for October 2024. Sonal's Trusty Tip and compliance recommendations focus on reading and analyzing Final Rules as they are released. Sonal shares a few highlights from the 3,088-page Medicare Physician Fee Schedule Final Rule for 2025. Spark inspires us all to reflect on insight and wisdom based on the inspirational words of Mahatma Gandhi. Thanks to HCPro: Check out their Boot Camps: www.hcmarketplace.com ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Paint The Medical Picture Podcast now on: Spotify: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Apple Podcasts: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id153044217⁠7⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Amazon Music: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Find Paint The Medical Picture Podcast on YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7A⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Find Sonal on LinkedIn:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/sonapate/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ And checkout the website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://paintthemedicalpicturepodcast.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠PaintTheMedicalPicturePodcast@gmail.com --- Support this podcast: https://podcasters.spotify.com/pod/show/sonal-patel5/support

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Virtual Care in the Medicare Physician Fee Schedule

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Play Episode Listen Later Nov 7, 2024 7:58

Rachel Stauffer joins Julia Grabo to discuss the virtual care provisions in CMS' recently released calendar year 2025 Medicare Physician Fee Schedule final rule.

SOAP: Comment Letter Filed with CMS on 2025 Medicare Physician Fee Schedule

ACRO Podcast

Play Episode Listen Later Sep 18, 2024 44:56

ACRO's SOAP (Spotlight on Advocacy and Policy) Podcast provides public policy awareness to the radiation oncology community. During this episode, Drs. Tarita Thomas and Anna Brown, discuss the comment letter filed with CMS regarding the 2025 Medicare Physician Fee Schedule Proposed Rule. They are joined by Jason S. McKitrick, a Principal with DC based firm, Liberty Partners.

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S3 Eric Zimmerman, McDermott Plus

Urgent Care Leadership

Play Episode Listen Later Jul 26, 2024 18:59

UCA's Advocacy efforts recently achieved a milestone - inclusion of Urgent Care in the 2025 Medicare Physician Fee Schedule publication issued by CMS. This episode goes into more details about what that means, why it's important, what happens next, and when those efforts might directly impact Urgent Care centers. Guests are Eric Zimmerman from McDermott+ and Kristin Rastatter of the Urgent Care Association.Links mentioned:https://urgentcareassociation.org/uc-advocacy/https://urgentcareassociation.org/about/the-people-behind-uca/kristin-rastatter/

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Liz Fowler on the Future of Specialty and Primary Care Integration

A Health Podyssey

Play Episode Listen Later Jul 16, 2024 31:07

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs Editor-in-Chief Alan Weil welcomes Liz Fowler, Deputy Administrator and Director of the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services, to A Health Podyssey to discuss the future of health care payments, CMMI's specialty care strategy, mandatory models versus voluntary alternative payment models, CMS' newly-proposed Medicare Physician Fee Schedule for 2025, and more!Related Articles from Liz Fowler on Health Affairs:The CMS Innovation Center's Strategy To Support Person-Centered, Value-Based Specialty Care: 2024 UpdateAdvancing Health Equity Through Value-Based Care: CMS Innovation Center UpdateUpdate On The Medicare Value-Based Care Strategy: Alignment, Growth, EquityOrder the July 2024 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone. Subscribe to UnitedHealthcare's Community & State newsletter.

642: Black Maternal Health Week, PH Appropriations Book

Public Health Review Morning Edition

Play Episode Listen Later Apr 12, 2024 7:14

Chemyeeka Tumblin, a Licensed Marriage and Family Therapist specializing in Perinatal and Maternal Mental Health, outlines the importance of Black Maternal Health Week; Jeffrey Ekoma, ASTHO's Senior Director for Government Affairs, discusses ASTHO's FY25 Governmental Public Health Appropriations Book; and an ASTHO resource will take you through all the changes to the Medicare Physician Fee Schedule. CDC Webpage: Working Together to Reduce Black Maternal Mortality ASTHO Webpage: FY25 Governmental Public Health Appropriations Book ASTHO Webpage: Changes to 2024 Medicare Physician Fee Schedule for CHI Services ASTHO Webpage: Legislative Alerts ASTHO Webpage: Stay Informed

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2024 advocacy agenda: Medicare payment cuts, fixing prior auth and more

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Play Episode Listen Later Feb 13, 2024 14:12

How the AMA is addressing the most significant problems facing doctors in medicine today: Medicare payment reform, fixing prior authorization, reducing physician burnout, as well as making healthcare technology an asset not a burden. AMA Senior Vice President of Advocacy Todd Askew joins AMA CXO Todd Unger for a live chat at this year's National Advocacy Conference.

Randi Seigel and Jared Augenstein on the CMS 2024 Medicare Physician Fee Schedule [Podcast]

Compliance Perspectives

Play Episode Listen Later Jan 23, 2024 15:05

By Adam Turteltaub The 2024 CMS Medicare Physician Fee Schedule extends no less than ten different pandemic flexibilities related to telehealth. In this podcast, Randi Seigel, partner and Jared Augenstein, managing director, at Manatt take us through all of them, including in-person visit requirements, audio-only services, physician supervision and opioid treatment. They also address: Changes in the structure of the telehealth services list Changes to payment by place of services Remote psychological and therapeutic monitoring Enrollment and revocation A new opportunity for payments for social needs of Medicare beneficiaries Listen in to learn more about what's new, what's the same, and what will sunset at the end of 2024.

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The Physician Conversion Factor "Doc Fix"

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Play Episode Listen Later Jan 18, 2024 8:55

Jeffrey Davis joins Julia Grabo to discuss the so-called "doc fix" that would prevent some or all of the 3.37% cut to the Medicare Physician Fee Schedule conversion factor. They also explore what congressional action would look like and address why it's a hot topic now.

What does Medicare cost: How physician pay cuts in 2024 impact patient care with Alice Coombs, MD

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Play Episode Listen Later Jan 18, 2024 12:06

The real-world consequences of declining Medicare physician payment. From, 2001 to 2023, Medicare payment has declined 26% when adjusted for inflation. Alice Coombs, an anesthesiologist and internist at Virginia Commonwealth University Health joins to discuss the ways this underpayment impacts physicians and patient care, including longer wait times and less access to care. Dr. Coombs also shares how physicians can advocate for change based on her experience as the president of the Medical Society of Virginia. American Medical Association CXO Todd Unger hosts.

Week In Review: 2024 Medicare Physician Fee Schedule

MGMA Podcasts

Play Episode Listen Later Dec 22, 2023 11:22

In this episode of the MGMA Week in Review podcast, we welcome MGMA editor and writer Colleen Luckett to the show to share her thoughts on the latest MGMA Stat on the 2024 Medicare Physician Fee Schedule. Sources: MGMA Stat: https://www.mgma.com/mgma-stat/social-determinants-of-health-a-driving-force-in-medical-group-data-collection Physician Fee Schedule: 2024 Medicare Physician Fee Schedule Resources: MGMA Stat: mgma.com/stat Ask an Advisor: www.mgma.com/ask-an-advisor MGMA Membership: www.mgma.com/membership MGMA Advocacy: www.mgma.com/advocacy MGMA Consulting: www.mgma.com/consulting/overview If you would like additional tools and resources related to medical practice leadership or you have stories to share with us, email us at podcasts@mgma.com or email Daniel Williams directly at dwilliams@mgma.com. Thank you again for taking the time to listen to the MGMA podcast network.

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Medicare payment reform: Progress to date and what's next with Willie Underwood III, MD

Play Episode Listen Later Nov 9, 2023 14:17

Medicare must change, and the AMA is fighting nonstop to make payment reform a reality. Chair of the AMA Board of Trustees Willie Underwood III, MD, MSc, MPH, joins to discuss the AMA's advocacy to fix Medicare now, including the campaign's wins to date and what's next. American Medical Association CXO Todd Unger hosts.

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The real cost of the 2024 Medicare physician fee schedule with Jason Marino

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Play Episode Listen Later Nov 6, 2023 14:52

Physician Medicare payment is down 26% since 2001, when adjusted for inflation. When you look at the numbers, it's clear that the government needs to fix Medicare now for physicians. Jason Marino, director of Congressional affairs for the AMA, joins to break down the facts and figures and explain why reforming Medicare physician payment just makes sense. American Medical Association CXO Todd Unger hosts.

2023 Cardiology Coding Updates & Trends

Revenue Cycle Optimized

Play Episode Listen Later Aug 15, 2023 26:17

Dive into the current cardiology coding landscape and what lies ahead, from understanding "incident to" billing practices and ICD-10 modifications, to navigating the 2024 Medicare Physician Fee Schedule and addressing prevalent denial trends facing cardiology practices. Julie Graham, Infinx Senior Coding Manager, joins us with her vast experience of over 20 years in the field. She sheds light on these topics and offers actionable insights to overcome common challenges. Brought to you by www.infinx.com

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2024 Medicare Physician Fee Schedule Proposed Rule

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Play Episode Listen Later Aug 1, 2023 5:10

Matt Kershner, Director, of Regulatory Affairs & Policy, at the American Academy of Neurology, discusses the 2024 Medicare Physician Fee Schedule Proposed Rule. Show references: https://www.aan.com/advocacy/capitol-hill-report This episode was sponsored by the ExTINGUISH Trial for NMDAR Encephalitis: Call 844-4BRAIN5 to refer patients.

Melissa Davis: Can a Radiologist Trust AI?

Health & Veritas

Play Episode Listen Later Jul 20, 2023 35:14

Howie and Harlan are joined by Melissa Davis, a Yale radiologist and a graduate of Yale SOM's MBA for Executives program, to discuss the ‘whoa' moments and the weaknesses she has encountered using artificial intelligence to help interpret scans. Harlan reflects on the slow progress toward a healthcare system that rewards value rather than volume; Howie reports on new treatments for Alzheimer's disease. Links: “Robert F. Kennedy Jr. suggests covid was designed to spare Jews, Chinese people” “The Medicare Physician Fee Schedule and Unethical Behavior” “Vinod Khosla: Machines will replace 80 percent of doctors” “Affirmative action ruling raises concerns over impact on medical school diversity” Yale School of Management: MBA for Executives Sepsis DX, co-founded by Melissa Davis “Donanemab in Early Symptomatic Alzheimer Disease: The TRAILBLAZER-ALZ 2 Randomized Clinical Trial” “Editorial: Amyloid-Targeting Monoclonal Antibodies for Alzheimer Disease” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

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Melissa Davis: Can a Radiologist Trust AI?

Health & Veritas

Play Episode Listen Later Jul 20, 2023 35:14

Howie and Harlan are joined by Melissa Davis, a Yale radiologist and a graduate of Yale SOM's MBA for Executives program, to discuss the ‘whoa' moments and the weaknesses she has encountered using artificial intelligence to help interpret scans. Harlan reflects on the slow progress toward a healthcare system that rewards value rather than volume; Howie reports on new treatments for Alzheimer's disease. Links: “Robert F. Kennedy Jr. suggests covid was designed to spare Jews, Chinese people” “The Medicare Physician Fee Schedule and Unethical Behavior” “Vinod Khosla: Machines will replace 80 percent of doctors” “Affirmative action ruling raises concerns over impact on medical school diversity” Yale School of Management: MBA for Executives Sepsis DX, co-founded by Melissa Davis “Donanemab in Early Symptomatic Alzheimer Disease: The TRAILBLAZER-ALZ 2 Randomized Clinical Trial” “Editorial: Amyloid-Targeting Monoclonal Antibodies for Alzheimer Disease” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

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Episode 115: How Does the Physician Compensation Roadmap Look

Coffee with Coker

Play Episode Listen Later Jun 22, 2023 39:46

Alex Kirkland joins Mark Reiboldt to discuss the state of physician compensation and what the future may hold. Hospitals have competed for physician market share in the post-pandemic world, and the influx of private equity investment alongside rising costs has pushed the survey data approach of funding physician compensation models to unsustainable levels. Episode Synopsis Many external factors have impacted physician compensation over the past several years. The extensive list includes pandemic-era volume reductions, volatile survey data, Medicare Physician Fee Schedule changes, rising inflation, and the list goes on! If there is any constant, it is that change is inevitable. With so much uncertainty, how can healthcare systems possibly plan for the future in terms of a sound physician compensation strategy? The answer lies in understanding expected shifts in the physician workforce, and the need for a nimble compensation structure that can adapt to market forces. Extras · Survey Says… What to Expect from the 2021 Market Survey Data (https://cokergroup.com/survey-says-what-to-expect-from-the-2021-market-survey-data/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-115&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=article&utm_marketing_tactic=awareness) · Compensation Best Practices for Physician Enterprises (https://cokergroup.com/compensation-best-practices-for-physician-enterprises/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-115&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=white-paper&utm_marketing_tactic=solution) · How do we address provider compensation misalignment? (https://cokergroup.com/case-study-provider-compensation-misalignment/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-115&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=case-study&utm_marketing_tactic=solution) · How are the 2023 E/M guideline changes impacting your organization? (https://cokergroup.com/2023-e-m-impact-calculator/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-115&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=calculator&utm_marketing_tactic=tool) Podcast Information Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes. · Please email us: feedback@cokergroup.com · Connect with us on LinkedIn: Coker Group Company Page · Follow us on Twitter: @cokergroup · Follow us on Instagram: @cokergroup · Follow us on Facebook: @cokerconsulting

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Inflation-based update for Medicare physician payments with Todd Askew

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Play Episode Listen Later Apr 6, 2023 11:35

Learn how the AMA is #FightingForDocs and access resources from the AMA Recovery Plan for America's Physicians by visiting: https://www.ama-assn.org/recoveryStay up to date on all the latest advocacy news by subscribing to AMA Advocacy Update: https://www.ama-assn.org/advocacy-update

Use of Provider Compensation Benchmarks in 2023 and Beyond

AHLA's Speaking of Health Law

Play Episode Play 60 sec Highlight Listen Later Jan 3, 2023 59:21 Transcription Available

Hospitals and health systems rely heavily on published compensation data for establishing their provider compensation and as part of their documentation for regulatory compliance. Both the pandemic and the Medicare Physician Fee Schedule continue to pose questions as it relates to recently published benchmarks. Emma Miller, FTI Consulting, speaks with representatives from four of the nationally recognized survey companies about the most recent benchmarks and how the data should be utilized. Emma's panel includes Elizabeth Siemsen, AMGA Consulting, Maria Hayduk, ECG Management Consultants, Michelle Mattingly, MGMA, and Bob Madden, SullivanCotter. From AHLA's Hospitals and Health Systems Practice Group.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

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November Advocacy Recap

CAPcast

Play Episode Listen Later Dec 13, 2022 6:16

This month we'll look at remote work practices following the end of the emergency declaration, the finalization of the Medicare Physician Fee Schedule, MACRA improvement recommendations, and more.

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Ask the Expert: Medicare Physician Fee Schedule

TMA Practice Well

Play Episode Listen Later Dec 12, 2022 26:08

The 2023 Medicare Physician Fee Schedule, which takes effect Jan. 1, and brings with it a mixed bag of consequences for physicians. TMA experts answer physician member questions about the coming changes. Claim CME for this episode and get the links to resources discussed at www.texmed.org/education.

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Episode 110: How Upcoming Billing and Coding Changes Influence Healthcare Economics

Coffee with Coker

Play Episode Listen Later Dec 1, 2022 53:06

Beth Balcom, Brandt Jewell, Alex Kirkland, and Richard Romero presented this webinar for the American Health Law Association. Our team will cover upcoming billing and coding changes affecting healthcare organizations in three areas: coding and compliance, operations, and finance. Podcast Information Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes. Please email us: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Follow us on Facebook: @cokerconsulting Episode Synopsis Upcoming billing and coding changes will affect healthcare organizations in three areas: coding and compliance, operations, and finance. Our team will cover these areas as they discuss how billing changes will impact physician practice operations and economics, including provider compensation and fair market value considerations. Learning Objectives Understand the financial impact of critical changes within the Medicare Physician Fee Schedule proposed rule and what they may mean from a valuation perspective. Discuss the operational implications and considerations resulting from the Medicare Physician Fee Schedule proposed rule. Provide an overview of the expected coding changes and associated compliance considerations. We recommend you speak with your key stakeholders about performing three actions to prepare for the upcoming changes which go into effect on January 1, 2023: Develop a coding communication plan that considers tools and checklists to help front-line resources acclimate to the changes Audit current EHR scheduling templates to ensure they consider the changes Conduct a chart audit to verify the accuracy of coding and documentation If Coker Group can assist you with developing a plan or implementation for any of the above, please get in touch with us to schedule a free consultation to discuss the specific needs of your client(s) or organization. Book Your Free Consultation ---> https://cokergroup.com/contact/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-110&utm_content=book-your-free-consultation&utm_campaign=coding-assessments&utm_source_platform=podcast-app&utm_creative_format=link&utm_marketing_tactic=contact Extras Major Changes to Split/Shared Billing Affect Advanced Practice Providers and Physicians (https://cokergroup.com/major-changes-to-split-shared-billing-affect-advanced-practice-providers-and-physicians/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-110&utm_content=major-changes-to-split-shared-billing-affect-advanced-practice-providers-and-physicians&utm_campaign=physician-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=awareness) How the CY 2022 PFS Final Rule Affects Split/Shared Visits and Critical Care Services (https://cokergroup.com/how-the-cy-2022-pfs-final-rule-affects-split-shared-visits-and-critical-care-services/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-110&utm_content=how-the-cy-2022-pfs-final-rule-affects-split-shared-visits-and-critical-care-services&utm_campaign=physician-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=awareness) Episode 107: How will Split/Shared Visits Change Between APPs and Physicians? (https://cokergroup.com/episode-107-how-will-split-shared-visits-change-between-apps-and-physicians/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-110&utm_content=how-will-split-shared-visits-change-between-apps-and-physicians&utm_campaign=physician-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=podcast&utm_marketing_tactic=awareness)

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Medicare Physician Fee Schedule - Reaction to Final Rule

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Play Episode Listen Later Nov 29, 2022 3:58

Matt Kershner, Director of Regulatory Affairs, discusses the Medicare Physician Fee Schedule Final Rule. Show References: https://www.aan.com/advocacy This podcast is sponsored by argenx. Visit www.vyvgarthcp.com for more information.

Medicare Physician Fee Schedule - Final Rule Update

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Play Episode Listen Later Nov 28, 2022 3:47

Dr. Bruce Cohen discusses the new Medicare Physician Fee Schedule Final Rule. Show references: https://www.aan.com/practice/medicare-fee-for-service This podcast is sponsored by argenx. Visit www.vyvgarthcp.com for more information.

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2023 Medicare Physician Fee Schedule: Health Equity at the Intersection of Cancer Screening

Talk Ten Tuesdays

Play Episode Listen Later Nov 8, 2022 32:33

Long-awaited and highly anticipated, the Centers for Medicare & Medicaid Services (CMS) Medicare Physician Fee Schedule Final Rule for 2023 released this past week supports the expansion of access to behavioral health and cancer screening, while promoting health equity.The timing of this Final Rule brings to mind the loss of actor Chadwick Boseman of Black Panther fame. Boseman died in 2020, following his battle with colon cancer – an issue addressed in the Final Rule with a focus on cancer screening, as colon and rectal cancers continue to be a leading cause of death in the U.S., with even higher numbers of new cases and death rates for Black Americans, Native Americans, and Alaskan Natives. Reporting our lead story during the next live edition of Talk Ten Tuesdays will be senior healthcare consultant Sharon Easterling, who is writing a series of articles for ICD10monitor on the experience of Black Americans dealing with the country's healthcare system.Other segments during the live broadcast will include the following:RegWatch: Stanley Nachimson, former CMS career professional-turned-well-known healthcare IT authority, will report on the latest regulatory news coming out of Washington, D.C.Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.Journaling John: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, will continue with his journal entries.News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer,MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment. The Foundation of Daily Health, AG1 by Athletic GreensUnlock Your Free One Year Supply of Vitamin D3+K2 and 5 free Travel Packs

2023 Medicare Physician Fee Schedule Final Rule: Telehealth Services Post-COVID-19

Monitor Mondays

Play Episode Listen Later Nov 7, 2022 32:20

The Medicare Physician Fee Schedule Final Rule for 2023 includes a provision for telehealth services – this following the temporary expansion of telehealth to beneficiaries during the COVID -19 public health emergency (PHE) that began March 1, 2020. Once the temporary PHE waivers terminate, what are the plans the Centers for Medicare & Medicaid Services (CMS) has for covering telehealth services for Medicare beneficiaries?Join 3M consultant Colleen Deighan-Ejak during the next live edition of Monitor Mondays, when she will outline what is included in the Final Rule for Medicare telehealth services. Other segments will include these instantly recognizable broadcast features:The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Practus, will report the latest news about auditors.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will report on the news that's happening at the intersection of healthcare regulations and the SDoH.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.Legislative Update: Matthew Albright, chief legislative affairs officer for Zelis, will report on current healthcare legislation.The Foundation of Daily Health, AG1 by Athletic GreensUnlock Your Free One Year Supply of Vitamin D3+K2 and 5 free Travel Packs

#34 Payment Changes Proposed for 2023

The Bone Beat

Play Episode Listen Later Sep 27, 2022 28:23

In this episode, advocacy leaders from the AAOS review proposed payment policy changes for 2023 in the inpatient and outpatient setting including ongoing cuts to reimbursement in the annual Medicare Physician Fee Schedule. They summarize each of the three regulatory rules, highlight changes specific to musculoskeletal care, then discuss the careful balance between stabilizing the system in the short-term while working towards a permanent fix that addresses growing health care costs and incentivizes value-based care. Guest: Karl Koenig (Texas), MD, FAAOS, Chair, AAOS Health Care Systems Committee Host: Douglas Lundy, MD, MBA, FAAOS, Chair, AAOS Advocacy Council Notes: Issue page in the AAOS Advocacy Action Center: https://www.aaos.org/advocacy/advocacy-action-center/payment-policy-changes/ Episode 23 - Economic Effects of Medicare Pay Cuts (recorded Oct. 2021): https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-23/ Special Episode - Impact of Payment Policy Changes (recorded Sept. 2020): https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-9/

Week in Review: 9/11 FDNY illnesses, Healthcare Leader Burnout, and a Medicare PFS Update

MGMA Podcasts

Play Episode Listen Later Sep 11, 2022 6:46

In this episode of the MGMA Week in Review podcast, we feature articles on stress and burnout, the 2023 Medicare PFS, and FDNY dealing with 9/11-related illnesses. Sources in this episode: Stress and burnout for healthcare leaders -- https://www.mgma.com/data/data-stories/stress-and-burnout-a-growing-concern-for-healthcar MGMA and the 2023 Medicare Physician Fee Schedule proposals -- https://mgma.com/news-insights/press/september-6,-2022-mgma-provides-comprehensive-comm?utm_source=nl-gov-kh-washington-connection-2022-09-08&utm_medium=email&utm_campaign=government-affairs&mkt_tok=MTQ0LUFNSi02MzkAAAGGu_UgilrjV0h2lSrChReRjCibi8TQmIdU39CQ7YIBFDXu9vXD1cG2qnQkBNotRFl-v7Lyrw-HI2gXFNJBkRjkW--N-ZRY4qf8sABuVMIeBA FDNY fatalities from post-9/11 illnesses -- https://abc7ny.com/fdny-911-september-11-world-trade-center/12216375/ Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. Listen to our podcasts at www.mgma.com/listen. Join us at the MPE: Leaders Conference in Boston, Oct. 9-12. To register or learn more go to mgma.com/events/medical-pract…e-leaders-conference If you have a story you want to share with us, email us at podcasts@mgma.com.

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2023 Medicare Physician Fee Schedule Proposed Rule