CY 2017 OPPS Final Rule: Financial, Operational and Section 603 Implications for Off vs. On-Campus Providers

OVERVIEW:
Medicare release of the final CY 2017 OPPS rule is critical for providers to understand so they can be ready to implement all changes by January 1, 2017 while also obtaining a keen sense of where they can expect to see financial impact on their book of business. Many of the expected changes if finalized could have tremendous financial and/or operational impact on providers. The final rule is typically released around November 1st which gives providers less than 60 days to be ready for the new year's changes. Joining for this program will allow providers to be ready

Instructor : Jugna Shah
Product Id 800745
Duration: 90 Minutes
Tuesday, December 6, 2016 | 10:00 AM PDT | 01:00 PM EDT
WHY SHOULD YOU ATTEND:
It's better to know what changes CMS has finalized so that providers are ready to implement new coding or billing requirements such as the use of new modifiers, etc. Additionally, providers will have a sense of what payment rate changes/shifts are expected for individual services (by CPT code, such as evaluation and management visits, observation, drugs, etc.) and/or for Comprehensive APCs, which are like mini-outpatient DRGs or episodes. Knowing where the largest changes are can help finance directors, hospital CFOs, coding, billing, reimbursement, and compliance staff be ready for impact on their organizations.

AREAS COVERED IN THE SESSION:

• All major financial and/or operational changes finalized by CMS for CY 2017 OPPS
• Status indicator changes
• Packaging changes
• Comprehensive APC (mini-DRG) changes
• Payment changes for drug administration, E/M visit codes, observation, composite APCs, drugs, biologicals, radiopharmaceuticals, blood and blood products, as well as other major APC category payment rate changes
• Changes related to reporting modifiers and much more!
• Observation Notice Act changes if released
• Section 603 related technical and operational changes for grandfathered vs. non-grandfathered provider-based off-campus locations
• And much more!

WHO WILL BENEFIT:

• Health Information Management
• Revenue Cycle Directors
• Finance
• Billing Office
• Charge Description Master Coordinators
• Others in the hospital interested in understanding the changes CMS has finalized for CY 2017.

SPEAKER PROFILE
Jugna Shah is a Nationally recognized expert in health care policy and financing reform and the founder of Nimitt Consulting, Inc. Since 2001, Nimitt Consulting has specialized in providing information and education on regulatory initiatives and policies that affect health care service delivery, quality, cost, accessibility, and compliance.

 

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