2024 OPPS Proposed Rule: Analyze CMS’ Potential Policy Changes - On-Demand
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Available ON-DEMAND
Presented on: Wednesday, August 30, 2023
Presented by: Kimberly A. Hoy, JD, CPC, Teri Rice, MSN, MHA, MBA, RN, CHC, and Amy Inch, COTA, CPC, CPMA
CMS issues an annual Outpatient Prospective Payment System (OPPS) proposed rule to list and explain policy proposals for outpatient coding and billing. Feedback on the proposed rule is due within 60 days of its release, and any changes made permanent in the subsequent final rule must be implemented by January 1. Be prepared to implement this year's changes and provide feedback to CMS by attending this webinar.
During this 120-minute webinar, expert speakers Kimberly A. Hoy, JD, CPC, Teri Rice, MSN, MHA, MBA, RN, CHC, and Amy Inch, COTA, CPC, CPMA, will analyze key financial changes to outpatient programs and services in the proposed rule. They will explain significant changes to hospital price transparency requirements and enforcement, as well as updates to quality programs. Hoy, Rice, and Inch will also discuss policies in the 2024 Medicare Physician Fee Schedule (MPFS) proposed rule that could affect outpatient hospital billing and reimbursement. The program will conclude with a live Q&A.
At the conclusion of this program, participants will be able to:
- Identify key proposals in the 2024 OPPS proposed rule
- Explain possible changes to policies affecting hospitals in the 2024 MPFS proposed rule
- Determine the financial and operational impact of CMS’ proposed changes
- Describe CMS’ changes to hospital price transparency requirements
Agenda
- Key financial changes proposed for 2024
- Proposed changes to outpatient programs and services, as well as hospital price transparency regulations
- Proposed modifications to rural and behavioral health policies
- Updates to quality programs
- Significant 2024 MPFS proposals
- Live Q&A
Who Should Listen?
- Revenue cycle directors, managers, and staff
- Revenue integrity directors, managers, and staff
- HIM directors and managers
- Auditors
- Coding managers
- Outpatient coders
- Billing managers
- Billers
- Compliance professionals
- CDI professionals
- Utilization review/utilization management directors, managers, and staff
- Case management directors, managers, and staff
Meet the Speaker
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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. |
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Teri Rice, MSN, MHA, MBA, RN, CHC, is the lead instructor for HCPro’s Medicare Boot Camp—Critical Access Hospital Version and Rural Health Clinic Version and an instructor for the Medicare Boot Camp—Utilization Review Version. She is a regulatory specialist for HCPro’s Medicare Propel Advisory Services, providing guidance on coverage, billing, and reimbursement. A nurse with extensive experience in compliance, Rice has assisted an acute care hospital with documentation integrity, internal auditing, charge capturing, and education; played an active role in software implementation, process improvement, and establishment of workgroups; and co-designed physical therapy software to promote compliance with federal Medicare regulations. She has assisted with EHR rule-based functionality for accurate charge capture and presented department-specific educational programs on documentation, charging practices, and Medicare regulations. Rice has developed policies and procedures focused on Medicare regulations to promote compliance. She has collaborated on compliance work plans, internal organizational risk assessments, and root cause analysis. |
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Amy Inch, COTA, CPC, CPMA, is an instructor for HCPro’s Medicare Boot Camp—Physician Services Version and Denials and Appeals version. She has over 25 years of experience in healthcare, primarily in the roles of senior and lead investigator as well as lead investigations trainer with a Medicare Unified Program Integrity Contractor. Inch conducted extensive policy research and data analysis in the development of successful investigations. She also created and delivered education on a variety of Medicare and Medicaid topics to investigators, analysts, medical reviewers, and law enforcement. Additionally, she is an occupational therapy assistant with clinical experience in hospitals and skilled nursing facilities. |
Continuing Education
AAPC
This program has the prior approval of AAPC for 2 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: 8/31/2024
ACDIS
This program has been approved for 2 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).
Ability to claim this credits expires: 8/29/2024
AHIMA
This program has been approved for 2 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: 8/28/2024
NAHRI
This program has been approved for 2 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 this credits expires: 8/29/2024
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.
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