2021 IPPS Final Rule: Navigating Medicare's Changing Reimbursement

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2021 IPPS Final Rule: Navigating Medicare's Changing Reimbursement

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2021 IPPS Final Rule: Navigating Medicare's Changing Reimbursement

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Presented on: Thursday, September 17, 2020 | 1–2:30 p.m. Eastern

Presented by: Judith L. Kares, Esq.

The fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule included a potentially major change to how MS-DRG payments will be calculated, beginning with FY 2024. It also included proposals regarding payment factors, quality initiatives, and disproportionate share hospital updates. Most IPPS provisions will go into effect October 1, so depending on which proposals are finalized, health systems will have to act fast to ensure IPPS changes are implemented accordingly and compliantly.

During this 90-minute session with live Q&A, expert speaker Judith L. Kares, Esq., will outline the most significant changes identified in the FY 2021 IPPS final rule, including updated payment strategies, reporting measures, new technologies, operating and capital rates, and changes to quality and interoperability programs. She will also discuss how the final rule’s changes to reimbursement and other policies will interact with CMS’ COVID-19 interim final rules with comment period and emergency waivers. Kares will walk attendees through an initial assessment of the financial impact and discuss best practices for maintaining and protecting compliant revenue.

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

  • Describe key changes under the FY 2021 IPPS final rule and compare them to prior existing requirements
  • Identify strategies to implement FY 2021 IPPS requirements
  • Analyze the effect of the ongoing public health emergency and related waivers and interim final rules on FY 2021 IPPS payment


    • Identifying key changes in the 2021 IPPS final rule
    • Calculating 2021 IPPS payment, including adjustments designed to:
      • Advance implementation of new technologies
      • Meet the unique challenges of rural health
      • Promote cost efficiency through meaningful quality measures
    • Assessing the impact of the COVID-19 public health emergency
    • Understanding the impact of adjusting MS-DRG payment based on median commercial payer rates
    • Implementing strategies and addressing challenges related to the 2021 IPPS final rule

            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
            • Utilization Review/Utilization Management directors, managers, staff
            • Case management directors, managers, and staff

            Meet the Speaker

            Judith L. Kares, Esq.Judith L. Kares, Esq. has considerable experience interpreting and applying Medicare rules and regulations and is an instructor for HCPro’s Medicare Boot Camp®—Hospital Version. She spent a number of 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 25 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; 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 will be 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.