Practice Management

(SA08) Coding Changes that Impact Your PALTC Practice

Saturday, March 9, 2024

12:30 PM – 2:00 PM CT

Room: Stars at Night Ballroom B1

CME: (1.5) MOC: (1.5) CMD Management: (1.5) NP Pharmacology Hours (0)

Session Chair/Speaker(s)

Robert A. Zorowitz, MD, MBA, CMD, FACP, AGSF (he/him/his)

Regional Vice President, Health Services
Humana
New York, NY

Disclosure(s): No financial relationships to disclose.

Speaker(s)

Dallas L. Nelson, MD, FACP, CMD (she/her/hers)

Professor of Medicine
University of Rochester School of Medicine and Dentistry
Rochester, NY

Disclosure(s): No financial relationships to disclose.

Disclosure(s):

Dallas L. Nelson, MD: No financial relationships to disclose.

Robert A. Zorowitz, MD, MBA, CMD, FACP, AGSF: No financial relationships to disclose.

This session will provide an overview of the revised evaluation and management criteria, including the medical decision-making tables. In addition, this session will provide an overview of codes beyond the usual nursing home set and how they may be appropriate for your practice. Advance care planning, chronic care management, complex chronic care management, non-face-to-face prolonged services, behavioral health integration, and other codes that have been established since 2016 will be examined. This session will provide examples of how and when to use these codes as the payment system moves from volume to value based.

Learning Objectives:

At the completion of this session, learners will be able to:

Explain the improvement in payment for care management services by CMS.
Describe the new codes that allow reporting of additional evaluation and management services.
Discuss how these codes have the potential to improve patient care.
Discuss CMS proposed changes to evaluation and management service codes.