What to Expect in CY2020:  Coding Coverage and Payment for Radiation Skin Therapy and Highlights from the MPFS Final Rule

1. 2019 vs. 2020 coding, coverage and payment for electronic brachytherapy and superficial radiation therapy
2. Highlights of the CY2020 MPFS Final Rule
• CY2020 vs CY2019 payment rates for popular dermatology codes
• Future E/M coding
• Quality Payment Program
3. Radiation Oncology Model

Presenters

     KATHY A. FRANCISCO, CPC, MBA - PRESIDENT

Kathy offers over twenty years of managerial experience focused in reimbursement, payer relations and state and federal governmental affairs. Her areas of expertise include strategic and tactical reimbursement coverage and coding, policy development and implementation, sales and marketing support and legislative policy development. She has developed strategic reimbursement solutions to pharmaceutical, medical device and biotechnology firms as well as health care providers and managed care organizations nationally and internationally. She has successfully implemented Medicare policy change at a national level in less than ninety days and has built solid relationships with Medicare Medical Directors, Managed Care Organizations, medical societies and the Centers for Medicare and Medicaid Systems. Kathy has taken a very active health policy role with numerous medical societies, industry trade associations and health care coalitions and been an invited speaker at state society meetings, state conferences and national society and professional health care meetings across the country as well as several international symposiums. She is considered an expert in the area of health care reimbursement and offers a vast amount of knowledge within the federal regulations and governmental policy arena.

     AMY E. GOLDBERG, BS, RPh, MBA -  STRATEGIC AND TACTICAL TEAM MANAGER

Amy has over fifteen years in the pharmaceutical and consulting industry. She started her professional career as a Pharmacist for Thayer Pharmacies. Amy has held positions in Sales with Eli Lilly and was a Specialty Sales Representative for Lilly representing Prozac. Following her tenure at Lilly, Amy joined Boston Healthcare Associates as a consulting project manager involved in managing a wide range of consulting projects focused on reimbursement, strategic product and market planning within both the pharmaceutical and medical device industries. Amy has a strong understanding of the public and payer markets and their impact on integrated delivery systems and group purchasing organizations. She has extensive experience developing discussion guides and conducting interviews with providers, patients and decision makers within the payer market. Amy has excellent analytical, organizational and communication skills and takes a lead role in analyzing project information to create clear, action orientated programs. Amy has a Bachelor of Science degree from University of Connecticut and a M.B.A. from Boston College.

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