(Recorded Webinar) What’s New in CMS’ Calendar Year (CY) 2024 Proposed Rules for FQHCs
The Centers for Medicare & Medicaid Services' (CMS) CY2024 Physician Fee Schedule (PFS) and Outpatient Hospital Prospective Payment System (OPPS) Proposed Rules contain various provisions that will expand payment to federally qualified health centers (FQHCs) for Medicare services. The proposals will particularly allow FQHCs to expand care management and mental health services for Medicare beneficiaries, and to emphasize the role of community health workers (CHWs) and patient navigators in helping Medicare patients.
We will cover the top developments in the Proposed Rules, including provisions that will, if finalized, in CY2024:
- Add the services of mental health counselors (MHCs) and marriage and family therapists (MFTs) to the Medicare FQHC benefit,
- Add a comprehensive new behavioral health service eligible to be furnished by FQHCs, intensive outpatient services (IOP),
- Allow FQHCs to bill Medicare on a monthly basis for furnishing remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) services,
- Allow FQHCs to bill Medicare on a monthly basis for community health integration (CHI) and principal illness navigation (PIN) services, and
- Relax various supervision requirements for care management and “incident to” services in FQHCs.
- 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 2024 Proposed Physician Fee Schedule rule
- Understand the scope of proposed mental health provider and behavioral health service changes
- Identify the proposed expansion of care management and relaxed requirements for health centers
Susannah Vance Gopalan
Susannah Vance Gopalan is a Partner in the firm’s health care practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. She 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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