2019 IPPS Final Rule: Highlights and Strategies for Compliance - On-Demand

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2019 IPPS Final Rule: Highlights and Strategies for Compliance - On-Demand

Product Code: YHHA091718D

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2019 IPPS Final Rule: Highlights and Strategies for Compliance - On-Demand

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Available ON-DEMAND

Presented on:
Monday, September 17, 2018

Presented by:
Judith L. Kares, Esq.

Level of Program:
Intermediate

Sponsored by:
NAHRI, Revenue Integrity Symposium, Revenue Cycle Advisor

CMS’ 2019 inpatient prospective payment system (IPPS) final rule sets out to overhaul the newly coined Promoting Interoperability Programs (formerly the Electronic Health Record Incentive Programs), significantly reduce reporting requirements for quality initiatives, and update payment rates. Arm your facility now with the strategies and guidance it needs to ensure 2019 IPPS changes are implemented accordingly and in a manner that best supports workflow and operations.

During this 90-minute session, expert speaker Judith L. Kares, Esq., will outline the most significant changes identified in the FY 2019 IPPS final rule, including reporting measures, new technologies, operating and capital rates, and changes to quality and interoperability programs. Case studies and discussion will be used to illustrate the impact of financial changes, including MS-DRG payment, the IPPS operating and capital payment calculations, the 2019 wage index, and applicableDSH, IME, and LV adjustments to the operating IPPS payment.

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

  • Identify key changes under the FY 2019 IPPS final rule and compare them to prior existing requirements
  • Develop strategies to implement FY 2019 IPPS requirements efficiently and effectively
  • Identify updated payment factors and related policies necessary to calculate FY 2019 IPPS operating and capital MS-DRG payments, prior to certain adjustments
  • Understand inpatient quality and other adjustments and their impact on calculation of the total adjusted FY 2019 IPPS MS-DRG payment

Who Should Listen?

  • Revenue cycle directors/managers/staff
  • Revenue integrity directors/managers/staff
  • HIM directors and managers
  • Auditors
  • Coding managers
  • Inpatient coders
  • Billing managers
  • Billers
  • Compliance professionals
  • CDI professionals
  • UR/UM directors, managers, staff
  • Case management directors, managers, and staff

Agenda:

  • Explanation of the key changes of the 2019 IPPS final rule
    • Significant changes to the Medicare and Medicaid Promoting Interoperability Programs (MMPIP)
    • Measures acute care hospitals are required to report across the four quality and value-based purchasing programs
    • Measures to reduce documentation requirements
    • CMS’ retention of three new technologies from FY 2018 and addition of ten new technologies
    • CMS’ 1.85% increase to IPPS operating rates
  • Discussion of implementation strategies related to the 2019 IPPS final rule
  • Strategies for calculating the 2019 IPPS payment
    • Payment under the IPPS based upon the MS-DRG to which case is assigned
    • IPPS operating and capital payment calculation
    • 2019 wage index
    • DSH, IME, and LV adjustments to the operating IPPS payment
    • New technology add-on payments
  • Explanation of quality initiative adjustments for 2019 IPPS
    • e-Prescribing measures
    • Conditions included in the Hospital Readmissions Reduction Program
    • Hospital Value-Based Purchasing Program incentive payments
    • Hospital-Acquired Condition Reduction Program adjustments
  • Q&A

Continuing Education

AAPC
(Live + On Demand) - This program has the prior approval of AAPC for 1 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 credits for this webcast expires on: 09/16/2019

AHIMA
(Live + On Demand) - This program has been approved for 1.5 continuing education unit(s) 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 credits for this webcast expires on: 09/16/2019

Meet the Speaker

Judith L. Kares, JD, Esq.

Judith L. Kares, Esq., is an expert in Medicare rules and regulations and is an instructor for HCPro's Medicare Boot Camp®—Hospital Version. She spent several years in private law practice, representing hospitals and other healthcare clients, and then served as in-house legal counsel for two large third-party payers. For the past 20 years she has continued to provide legal and related compliance services on a consulting basis. These services include development of strategic compliance programs; establishment of baseline risk assessments; creation of appropriate compliance documents (e.g., codes of conduct, corporate policies and procedures); creation of reporting mechanisms; development of training and communication plans, including related materials; compliance reviews and audits; research and advice regarding specific risk areas; and development of corrective action plans.

 

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. 

CAN'T LISTEN LIVE? 
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 the 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 customerservice@hcpro.com if you have questions.

*This webinar is excluded from the Loyal Listener Library subscription

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