2022 OPPS Final Rule: Implementing the Latest CMS Changes

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2022 OPPS Final Rule: Implementing the Latest CMS Changes

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2022 OPPS Final Rule: Implementing the Latest CMS Changes

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Presented on: Tuesday, December 14, 2021 | 1:00–2:30 p.m. Eastern

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

The 2022 OPPS final rule is expected to bring changes to a host of CMS policies, including the inpatient-only list, price transparency requirements and penalties, and the extension of flexibilities established during the COVID-19 public health emergency.

During this program, expert speakers Jugna Shah, MPH, CHRI, and Valerie A. Rinkle, MPA, CHRI, will analyze the final rule and break down what these changes mean for hospitals. In addition to offering analysis of CMS’ lengthy annual rule, they will offer providers operational tips to help institute these changes and educate staff ahead of implementation. The presentation will be followed by a live Q&A.

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

  • Explain the most significant changes finalized by CMS
  • Describe CMS’ price transparency requirements for 2022
  • Determine which procedures have updates to status indicators and other APC change 


This program will cover:

  • Updates to policies regarding the inpatient-only list
  • Policies relating to price transparency requirements and penalties
  • Changes to APCs and new separately payable APC services
  • 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

Junga Shah

Jugna 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 Rinkle

Valerie A. Rinkle, MPA, CHRI, is president of Valorize Consulting and has more than 35 years’ experience in healthcare policy, finance, strategy, and revenue management operations. Her expertise spans all CMS reimbursement methodologies and the operational capabilities necessary to effectively achieve accurate and defensible payment. She has extensive hospital chargemaster, OPPS and physician fee schedule, and provider-based department experience. Rinkle also has significant experience in leading compliance due diligence in support of M&A as well as defense strategies surrounding OIG, DOJ, RAC, and other audit agencies including state Medicaid programs. She has served as an expert witness in litigation. She works with device manufacturer and pharmaceutical manufacturers for their coding and reimbursement support. Rinkle is a frequent public speaker with HCPro and as an annual presenter on OPPS at the Institute on Medicare and Medicaid Payment Policy by the American Health Lawyers Association where she co-presents with CMS representatives.

Continuing Education

Association of Clinical Documentation Integrity Specialists (ACDIS)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification and CCDS-O (outpatient) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).


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 or Edge, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: Internet connection (high-speed connection recommended) 
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device

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.