Medicare released the final rule for changes to the physician fee schedule for 2025. For next year it includes several new codes as well as updated and new information on old codes. These will be discussed based on the information found in the final rule that was released in early November. There were several areas of telehealth that were discussed in the final rule including supervision via audio/video and audio only methods. Certain codes that are eligible for telehealth use have received levels of supervision on a permanent basis. Other areas that will see the requirements for supervision change is for private practice physical therapists for their PTA and OTA. The complexity add on code that was made available for payment in 2024 has some updated guidelines and now a sister type code in a complexity code for specialty trained infectious disease physicians. An overview of information on new codes for Caregiver Training and Advanced Primary Care Management Services will be shared.
• Caregiver training – new code information
• Complexity code –G2211 – updated guidelines
• Complexity code for infectious disease physicians – new code information
• Telehealth – updated information
• Advanced Primary Care Management Services (APCM) –new code information
• Atherosclerotic Cardiovascular Disease (ADCVD) risk assessment service and risk management services
• Global surgery – updated payment accuracy
• Changes in supervision by physical therapists in private practice
Jill M Young is the Principal of Young Medical Consulting, LLC. A company founded 18 years ago to meet the education and compliance needs of physicians and their staff Jill has over 40 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her unique style of working with physicians is not only effective but helps bridge the gap between coders and physicians from a practical perspective. Her comments and opinions can be seen in several publications and also heard on a variety of audio-conferences. Her background gives her a unique style of teaching using real life examples of coding and billing situations. She hates…