This activity is designed to improve PCPs understanding of leadership in order to help them apply this to their practice.
What are the origins of our current physician payment structure? The resource-based relative value scale (RBRVS) assigns relative value units (RVUs) to professional services. In this first session, learn how services are defined and values assigned. Is this a “rigged” system? Find out.
MACRA (Medicare Access and CHIP Reauthorization Act) establishes “value-based” payment models. Importantly, MACRA changes neither the importance of the physician service codes as defined in the AMA’s CPT Manual nor the relevance of the RVUs assigned to each service in Medicare’s annual physician fee schedule (PFS). There are two payment options within MACRA: (1) Alternative Payment Models (AMPs), which require high levels of cross specialty collaboration and risk sharing and (2) the Merit-based Incentive Payment System (MIPS). Nearly all physicians will be part of the MIPS. Within this “system,” Medicare payments will be adjusted upward or downward based on the composite performance score (CPS). CPS has 4 components: quality, resource use, clinical practice improvement, and meaningful use of certified EHR technology. Your CPS will be calculated based on information collected by Medicare and information that you submit or is submitted on your behalf. Optimization with MACRA is achievable with planning and EHR tools that improve patient care.
Expert faculty will discuss the most recent and talked about articles published in the past year.
Medical group visits are moving into the mainstream in primary care. They are very popular in the care of prenatal patients, diabetes, and those with chronic health conditions. Participants in this session will learn about different types of group visits and receive insights on overcoming patient confidentiality concerns.
After this session, you will be able to assess risk of medical errors and prevent them in your medical practices.
Medicare initiated payment for transitional care management (TCM), recognizing that many patients discharged from facilities are at high risk for clinical instability or readmission. The TCM service codes pay primary care physicians to provide the patient care required to ensure safe return to independent living. The timing of service delivery stipulated by Medicare must be followed. In order to successfully employ TCM service codes, staff roles must be clearly identified.
Among physicians and other healthcare practitioners, burnout has reached epidemic proportions. Many physicians feel overworked and frustrated. This session will be designed to offer tips so that you can work more efficiently and get home earlier from your day. The goal of this session is not just to avoid burnout, but to give you at least a few tools to use every day in your practice that will move you closer to thriving at work. While being mindful of practice resource constraints, we will discuss being more efficient with your EMR, utilizing your team to respond to messages, streamlining the refill process and reducing the frustrations from difficult patients.
The Affordable Care Act (ACA) stipulated that Medicare establish Annual Wellness Visits (AWVs) for Medicare beneficiaries. These service codes offer the opportunity for primary care clinicians to focus on disease prevention and health promotion. The evaluation and management (E/M) service codes were designed for problem identification and management. The AWVs provide payment for primary care services heretofore uncompensated.
Medicare initiated payment for Chronic Care Management (CCM) services in order to provide physician compensation for non-face-to-face patient care services not covered by the existing evaluation and management (E/M) service codes. Data review, phone calls with other service providers, care planning and so forth have heretofore been unpaid. These CCM service codes have been vastly underutilized, and in response, Medicare has proposed changes. However, it remains to be seen whether the agency can improve the documentation requirements and payment sufficiently. Since payment enhancements are planned, now is the time to consider whether you want to start billing for CCM services.