This course provides an in-depth look at the proposed rule CMS-1807-P, focusing on significant changes to Medicare and Medicaid payment policies for CY 2025. Key areas include updates to the Physician Fee Schedule, Medicare Shared Savings Program, and Medicare Prescription Drug Inflation Rebate Program. The course also covers adjustments in telehealth services, payment for drugs and biological products, and opioid use disorder treatment. Participants will gain the knowledge needed to navigate these changes and contribute to public feedback that may influence the final rule.
In this course you will learn the following:
* Understand the purpose and intent of the proposed rule.
* Identify key changes to the Physician Fee Schedule, including RVU updates and telehealth services.
* Explain modifications to the Medicare Shared Savings Program and the Medicare Prescription Drug Inflation Rebate Program.
* Describe updates to other Part B payment policies, such as those for RHCs, FQHCs, and DMEPOS.
* Recognize the importance of public participation and the potential for changes to the proposed rule.
