Breaking Down the 2017 OPPS Proposed Rule - On-Demand

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Breaking Down the 2017 OPPS Proposed Rule - On-Demand

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Breaking Down the 2017 OPPS Proposed Rule - On-Demand

Available ON-DEMAND

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Presented on:
Wednesday, August 17, 2016

Presented by: 
Jugna Shah, MPH
Valerie A. Rinkle, MPA

Providers must understand CMS’ proposed rules to comment meaningfully, and this year’s OPPS rule contains many important provisions for hospitals to consider. CMS has proposed wide-ranging site-neutral payment provisions as a result of Section 603 of the Bipartisan Budget Act of 2015 that would impact current and future provider-based departments. The 2017 OPPS proposed rule also includes expanded packaging policies, the elimination of a modifier and addition of a new status indicator, and new comprehensive APCs (C-APCs), among other proposals.

During this program, expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, will analyze the proposed rule and deliver a comprehensive update on the major OPPS changes proposed for 2017. When you understand where CMS is headed, you'll be in a position to plan your own internal education and process changes.

At the conclusion of this program, participants will be able to:

  • Describe CMS’ proposed site-neutral payment policy, including billing implications
  • Understand the nuances and complexities associated with assessing the financial impact of CMS’ proposed packaging changes
  • Determine which procedures are assigned to C-APCs and the expansion of C-APC complexity adjustments
  • Understand the expanded packaging policies proposed for 2017 
  • Comment on proposals, including those CMS is specifically seeking input on, such as modifications to its bundled service models

This program will cover:

  • CMS’ proposal for off-campus, provider-based department payments
  • The proposed elimination of modifier -L1 and aligning all packaging to be claims-based
  • New codes, deleted codes, and new separately payable APC services
  • The importance of commenting on the proposed rule
  • Other key changes related to charging, coding, and billing outpatient services

Continuing Education

American Health Information Management Association (AHIMA)
(Live and On-Demand) This program has been approved for 2 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (Ability to claim CEU’s for this webcast expire on: 8/16/2017)

(Live and On-Demand) This program has the prior approval of AAPC for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. (Ability to claim CEH’s for this webcast expire on: 8/16/2017)

Who Should Attend?

  • HIM managers
  • Coding supervisors
  • Outpatient coders
  • APC coordinators
  • Chargemaster coordinators
  • Revenue cycle coordinators
  • Finance team members
  • Compliance officers

Meet the Speakers

Jugna ShahJugna Shah, MPH, is the president and founder of Nimitt Consulting, Inc., a firm specializing in case-mix payment system design, development, and implementation. She has extensive experience working with providers on the ongoing clinical, operational, and financial implications of Medicare’s OPPS based on APCs. She has educated and audited numerous hospitals on their drug administration coding and billing practices. She has contributed to several books and numerous OPPS/APC articles over the past 12 years. She is also a contributing editor of HCPro's Briefings on APCs. 

Valerie WrinkleValerie A. Rinkle, MPA, is a lead regulatory specialist and instructor for HCPro's Medicare Boot Camp®—Hospital Version, Medicare Boot Camp®—Utilization Review Version, and Medicare Boot Camp®—Critical Access Hospital Version. Rinkle is a former hospital revenue cycle director and has over 30 years in the healthcare industry, including over 12 years of consulting experience in which she has spoken and advised on effective operational solutions for compliance with Medicare coverage, payment, and coding regulations.

Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.

No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

Please note 
Participation in this webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.