2021 OPPS Proposed Rule: Prepare for CMS' Latest Changes

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2021 OPPS Proposed Rule: Prepare for CMS' Latest Changes

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2021 OPPS Proposed Rule: Prepare for CMS' Latest Changes

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Presented on: Friday, August 21, 2020 | 1-2:30 p.m. Eastern

Presented by: Jugna Shah, MPH, CHRI and Valerie Rinkle, MPH, CHRI

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. Be prepared to implement this year’s changes and be ready to comment to CMS by attending this webinar.

During this program, expert speakers Jugna Shah, MPH, CHRI, and Valerie A. Rinkle, MPA, CHRI, will analyze the proposed rule and deliver a comprehensive breakdown to update you on the major changes proposed for 2021 under the 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


This program will cover:

  • Key financial changes proposed for 2021
  • The top operational challenges hospitals will face in 2021
  • Changes to APCs 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

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

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
  • Revenue integrity professionals

Meet the Speaker

Jugna Shah, MPH, CHRIJugna Shah, MPH, CHRI, is the president and founder of Nimitt Consulting, Inc., a firm specializing in case-mix payment system design, development, and implementation. She has 15 years of experience working with providers on the ongoing clinical, operational, financial, and compliance implications of Medicare’s OPPS based on APCs. Shah 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 and is a contributing editor of HCPro’s Briefings on APCs. Shah serves as an advisory board member for NAHRI.

Valerie A. Rinkle, MPA, CHRIValerie A. Rinkle, MPA, CHRI, is a lead regulatory specialist and instructor for HCPro’s Revenue Integrity and Chargemaster Boot Camp as well as instructor for the 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 of experience 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 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! 

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.