Cracking the Code: Optimal Use of Visit Complexity Add-On in Medicare PFS 2024

The Final Rule for the Medicare Physician Fee Schedule for 2024 has been released giving us information needed for the upcoming year for services.  This final rule details what Medicare/CMS will be making in the way of changes to any HCPCS (and CPT) codes for the upcoming year.  This includes both policies and procedures as well as codes.  Understanding which are the appropriate codes for 2024 is an important piece of an office’s preparation for the new year.  Not only can new codes be added to the PFS, but code descriptors can change along with the policies and procedures CMS/Medicare defines for us to use.   For example, that are continuing Public Health (PHE) flexibilities under the Medicare Diabetes Prevention Program (MDPP) Expanded Model.  This means that although the PHE ended earlier in 2023, there will be “exceptions” or “allowances” to the MDPP program in 2024 that CMS/Medicare is defining. 

Also, this webinar will give tips on how to search and access information in the final rule document, which is over 2,000 pages.  Our expert speaker will also offer her personal comments on finding hidden gems of information within the rule. 

Webinar Objectives

The Physician Fee Schedule (PFS) final rule is a powerful document that is often overlooked in an office educating itself for the upcoming year.  Medicare has its own policies and procedures that may be defined or updated within this final rule.  If an office does not identify what changes, specific to their Medicare patients are happening, problems such as improper billing and coding of services, missing modifiers and ultimate lost revenue can occur.  Looking at the highlights below, one will see what will be covered in offering solutions to problems that may occur in 2024 with Medicare patients.  One of the most significant of which is use of the Visit Complexity Add on code.  This is not a code for all physicians to use.  In fact, CMS/Medicare is very specific in instructing who should use this code and how often.  A very important discussion to hear.

Webinar Highlights

• Adoption of the Office and other Evaluation & Management Visit Complexity add on code
• Behavioral Health Services updates
• Updates to codes and policies for Telehealth Service
• New allowances and codes for Caregiver Training Services
• Social Determinants of Health (SDOH) Risk Assessment
• Community Health Integration (CHI) and Principal Illness Navigation (PIN) services
• Continuing Public Health (PHE) flexibilities under the Medicare Diabetes Prevention Program (MDPP) Expanded Model

Who Should Attend

Coders, billers, office manager, office administrators