2019 OPPS Proposed Rule: Respond to CMS’ Newest Proposed Policies - On-Demand

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2019 OPPS Proposed Rule: Respond to CMS’ Newest Proposed Policies - On-Demand

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2019 OPPS Proposed Rule: Respond to CMS’ Newest Proposed Policies - On-Demand

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Available ON-DEMAND

Presented on:
Tuesday, August 14, 2018

Presented by:
Jugna Shah, MPH
Valerie Rinkle, MPA

Level of Program:

Sponsored by:
Revenue Integrity Symposium
Revenue Cycle Advisor

Each year CMS issues an OPPS proposed rule, which details the proposed changes to Medicare outpatient coding and billing. Feedback on the proposed rule is due within 60 days of its release, and finalized changes must be implemented by January 1. Last year’s major change for how hospitals must report drugs acquired through the 340B drug discount program added a new modifier and drastically reduced reimbursement. Be prepared to implement this year’s changes and be ready to comment to CMS by attending this webinar.

During this 90-minute program, expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, will analyze the proposed rule and deliver a comprehensive program to update you on the major changes proposed for 2019 under OPPS and how you can respond.

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

  • Explain the most significant changes being proposed by CMS
  • Describe the nuances and complexities associated with assessing the financial impact of CMS' proposed packaging changes
  • Determine which procedures are assigned to comprehensive APCs
  • Comment on proposals, including those on which CMS is specifically seeking input

Who Should Listen? 

  • HIM directors and staff
  • Outpatient coding managers and staff
  • Billing managers and staff
  • Revenue cycle professionals
  • Chargemaster coordinators
  • Auditors, APC coordinators
  • Compliance officers
  • Finance team members
  • Revenue integrity professionals


  • Key financial changes proposed for 2019
  • The top operational challenges hospitals will face in 2019
  • Changes to APCs and new separately payable APC services
  • Importance of commenting on the proposed rule
  • Other key changes related to charging, coding, and billing outpatient services

A live question-and-answer session will follow the presentation. 

*Tentative agenda ahead of 2019 OPPS proposed rule release, expected the first week of July.

Meet the Speaker

Jugna Shah, MPH

Jugna 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 13 years. She is also a contributing editor of HCPro's Briefings on APCs.

Valerie A. Rinkle, MPA

Valerie A. Rinkle, MPA, is a lead regulatory specialist and an instructor for HCPro's Medicare Boot Camp®—Revenue Integrity and Chargemaster Version, Medicare Boot Camp®—Utilization Review Version, and Medicare Boot Camp®—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 $299 value! 

Participation in the webinar is just $299 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.