(Recorded Webinar) Medicare CY2022 Physician Fee Schedule Proposed Rule: How It Will Affect FQHCs
Please join us for this late-breaking webinar addressing the proposed Medicare Physician Fee Schedule (PFS) Proposed Rule for CY2022 and its impact on FQHCs.
The most momentous proposed changes in this regulation proposed by the Centers for Medicare & Medicaid Services (CMS) involve telehealth. Medicare telehealth is, under permanent law, subject to many restrictions. During the COVID-19 pandemic, as telehealth became essential for FQHCs and other providers to maintain patient care, CMS used emergency waiver authority under federal law in order to (among other flexibilities) allow telehealth to be provided to patients located at home, and allow services to provided using audio-only technology. Congress also enacted emergency legislation allowing FQHCs and RHCs to serve as telehealth “distant sites” during the pandemic emergency period, whereas permanent law did not provide that status.
The proposed CY2022 PFS regulations would allow FQHC “visits” to encompass certain mental health visits furnished via telehealth, which means FQHCs would be paid their PPS rate for those telehealth visits. CMS also proposed to authorize the audio-only modality (rather than requiring audiovisual communication) for certain mental health telehealth visits. These changes are significant for the Medicare program, but they also have Medicaid implications, as many states choose to follow Medicare in designing Medicaid telehealth services and payment.
The proposed regulations include other changes of note for FQHCs/RHCs. CMS is implementing a change in the law, effective in 2022, that will allow FQHC providers to serve as “attending providers” for Medicare hospice patients. CMS is also proposing to allow providers (including FQHCs) to furnish more than one form of Medicare care management services within a month. Finally, CMS is proposing to add a new service to the bundle of “virtual communication services” in Medicare.
Changes on the horizon in Medicare policy, particularly concerning telehealth, have broad implications for the health care system after the COVID-19 public health emergency.
- Billing Managers
- Clinical Practice Managers
- Revenue Cycle Managers
After this webinar, you will be able to:
- Explain the key provisions and potential impacts on FQHCs in the Medicare CY 2022 Proposed Physician Fee Schedule rule
- Understand the scope of proposed telehealth regulatory changes
- Identify new strategies for FQHC service delivery post-public health emergency
SUSANNAH VANCE GOPALAN
Susannah is a Partner in the firm’s health law practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. Susannah brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. She has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]
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- 1.00 Certificate of Attendance
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