2023 OPPS Proposed Rule: Review CMS’ Latest Potential Policies

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2023 OPPS Proposed Rule: Review CMS’ Latest Potential Policies

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2023 OPPS Proposed Rule: Review CMS’ Latest Potential Policies

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Presented on: Thursday, August 25, 2022 | 1–2:30 p.m. Eastern

Presented by: Kimberly A. Hoy, JD, CPC and Camille Ruiz

Each year CMS issues an OPPS proposed rule that details the proposed changes to Medicare outpatient coding and billing. Feedback on the proposed rule is due within 60 days of its release, and changes set forth in the subsequent final rule 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 Kimberly A. Hoy, JD, CPC, and Camille Ruiz will analyze the proposed rule’s major policy updates, including changes to the inpatient-only list, new procedures within the prior authorization program, and the fallout of the Supreme Court’s ruling against CMS regarding 340B drug discount program payments. Hoy and Ruiz will also cover CMS’ proposals for its Rural Emergency Hospital designation and participate in a live Q&A for attendees.

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

  • Explain significant CMS proposals regarding outpatient hospital services for 2023
  • Identify key proposals from the Medicare physician fee schedule proposed rule that affect outpatient hospital services
  • Determine procedures requiring prior authorization for 2023

Agenda

This program will cover:

  • Key financial and APC proposals for 2023
  • Proposed changes for inpatient-only list, prior authorization, and physician supervision
  • Policy proposals for discarded drugs, skin substitutes, and 340B payments
  • Review of Rural Emergency Hospital proposals
  • Review of key Medicare physician fee schedule proposals

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 managers and staff

Meet the Speakers

Kimberly A. HoyKimberly A. Hoy, JD, CPC, is the director of Medicare and compliance for HCPro, a division of Simplify Compliance. She is a lead regulatory specialist and lead instructor for HCPro’s Medicare Boot Camp®—Hospital Version and Medicare Boot Camp—Utilization Review Version. She is also an instructor for HCPro’s Medicare Boot Camp—Critical Access Hospital Version. Hoy is a former hospital compliance officer and in-house legal counsel, and has 10 years of experience teaching, speaking, and writing about Medicare coverage, payment, and coding regulations and requirements.

Camille Ruiz, RHIA, is a regulatory specialist for HCPro and an instructor for HCPro’s Revenue Integrity and Chargemaster Boot Camp®. She has served as a clinic coder, HIM manager and director, CDM analyst, and CDM and Revenue Integrity consultant. She has more than 15 years of experience with revenue systems coordination and CDM and revenue cycle consulting. She is an AHIMA-Approved Revenue Cycle Trainer.

Continuing Education

AHIMA
This program has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

Ability to claim credits for this webinar expires on: 8/24/2023

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

Ability to claim credits for this webinar expires on: 8/24/23

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).

Ability to claim credits for this webinar expires on: 8/24/23

Instructions

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. 

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.