December 18, 2023 at 12:00 pm – Register Here!
Important Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) changes have been proposed for 2024 impacting hospital and professional outpatient billing and coding. These include proposed changes to:
- Professional E/M coding guidelines
- Telehealth
- Price transparency requirements
- Services requiring prior authorization
- 340B payments
- Site neutrality updates
Additionally, there will be the usual updates to the market basket and conversion factors, the inpatient-only list, comprehensive APCs, and transitional pass-through payments.
This presentation will summarize these key changes from the OPPS and the MPFS final rules.
Learning Objectives:
- Review the changes in the OPPS and some of the MPFS final rules
- Highlight key procedural coding and reimbursement changes
- Cover changes that could affect operational changes
- Share when these changes will be implemented
- Identify what the changes will mean for hospitals
Our Presenters:
Richard R. Cooley, BA, CCS is a principal at Epoch Health Solutions LLC with more than 20 years experience in healthcare consulting. He has developed an expertise in hospital outpatient and inpatient coding, including professional split billing and E/M coding, admission criteria, reimbursement, and compliance, and charge master reviews. Richard’s areas of expertise include Medicare reimbursement for the Medicare Outpatient Prospective Payment System (OPPS), Medicaid Ambulatory Payment Groups (APGs), as well as commercial payers, and professional reimbursement.
Richard is a certified coder with AHIMA (CCS). He earned his bachelor’s degree from Hobart College.
Veronica R. Ziac, MBA is a consultant with Epoch Health Solutions LLC. She has over 20 years of healthcare administration experience. Her areas of expertise include revenue cycle, information systems, population health and physician practice management. Most recently, she was the Director of Revenue Cycle Integrity at Cobleskill Regional Hospital. Prior to that, Veronica was the Chief Operating Officer for a large multispecialty hospital-based physician practice based in New York. Veronica has an MBA in healthcare administration from Union College and a bachelor’s degree from the University at Albany. She is a member of HFMA and MGMA and has been Certified in Healthcare Compliance (CHC) by the Healthcare Compliance Association.
Jean C. Russell, MS, RHIT is a partner at Epoch Health Solutions LLC. She has over 30 years of healthcare and information system experience. Her areas of expertise include the Medicare outpatient prospective payment systems (APCs, and APGs), as well as Charge Description Master (CDM), and outpatient coding and compliance. She is a frequent speaker at the national, state, and local levels for HFMA and AHIMA professional groups.
Jean earned a master’s degree in biomedical engineering rom the University of Houston, a bachelor’s degree in biology from Colgate University and her RHIT from the independent study program through the American Health Information Management Association.
This webinar offers one hour of Continuing Education credit.