2023 OPPS Final Rule: CMS Adds New Provider Type and Addresses 340B Payments - On-Demand

Available ON-DEMAND

Presented on: Friday, December 16, 2022

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

The 2023 OPPS final rule introduces a new provider type for rural emergency hospitals, updates the agency’s policy on reimbursement for drugs purchased through the 340B drug discount program, and includes a variety of other changes for hospitals to examine and implement by January 1.

During this 90-minute webinar, expert speakers Kimberly Hoy, JD, CPC, and Camille Ruiz, RHIA, will explain the major changes for outpatient hospital payments and services coming in 2023 and beyond. They will provide actionable advice for revenue cycle departments to navigate these updates and help them prepare. The presentation will be followed by a live Q&A with the speakers plus two guest panelists slated to appear: Jugna Shah, MPH, CHRI, and Valerie A. Rinkle, MPA, CHRI.

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

• Explain significant policies from CMS for outpatient hospital services for 2023
• Identify key changes from the Medicare physician fee schedule final rule that affect outpatient hospital services
• Determine the impact of the rural emergency hospital designation

Agenda

This program will cover:

• Key financial and APC updates for 2023
• Changes for the inpatient-only list, prior authorization, and physician supervision
• Policies for discarded drugs, skin substitutes, and 340B payments
• Financial impact of the rural emergency hospital designation
• Review of key Medicare physician fee schedule changes

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 Speaker

Kimberly 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

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).

Ability to claim these credits expires: 12/15/2023

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: 12/15/2023

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 these credits expires: 12/15/2023

AAPC

This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Ability to claim credits for this webinar expires on: 12/31/2023

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.