Beyond Face Time: Developments in Medicare FFS

Recorded  February 2, 2016

Reports of the demise of fee for service are entirely premature. In fact, Medicare has introduced new codes to pay physicians for services that do not require that they have a face to face encounter with the patient. Although CMS has announced that 30% of Medicare payment will be based on value-based alternative payment models by 2016 and 50% by 2018, virtually all their models so far depend on paying physicians on the fee schedule with some sort of reconciliation later. The new care management codes (and one earlier one) can pay physicians for their coordination of care without having to see the patient at all, and in some instances not even rendering the services themselves, but using their staff. From Care Plan Oversight, to Transitional Care Management, to Chronic Care Management, these codes are barely used and little understood. This crisp half hour session with fifteen minutes of Q & A and an 11 page hand-out will address the new codes, what they require, and where things can go wrong.

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