Each year, CMS issues the rule for hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment systems, detailing the changes to Medicare outpatient coding and billing. Hospitals must know how to prepare for and implement the major changes for 2019 under OPPS. There are many significant changes, and some of them are revolutional as opposed to evolutional – such as those for Ambulatory Payment Classifications (APCs).
Join this session with healthcare expert Duane C. Abbey, who will update you on the major changes for 2019 under OPPS, and shed light on what changes the future holds for APCs. Abbey will walk you through the changes in the grouping of the new CPT and HCPCS codes; changes to and trends for the Provider-Based Rule (PBR); how provider-based clinics are being impacted with the implementation of Section 603 of BiBA 2015, and the additional guidance that is being provided. Abbey will explain why APCs have not stabilized; the general trends for the evolution of APCs, including significantly increased packaging in several forms; how CMS is viewing add-on codes for payment purposes; whether there are new special compliance concerns; the fuss about status indicators, and more.
After attending this session, you will learn how to prepare for and implement the key changes for 2019 under OPPS. You will also understand the complex nature of APCs and compliance issues, including RAC concerns, as well as how the recent changes in the cost reporting process will affect APCs payments.
This session will bring you up to speed with:
Who Should Attend
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
- Sue Dill Calloway
Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....
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