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APC/OPPS update for 2020
Wednesday, December 18, 2019, 12:00 PM - 1:30 PM EDT
Category: Events

APC/OPPS Updates for 2020

Target audience: Outpatient Coders, CDI Specialists, Coding Managers, HIM Directors, Finance, Revenue Integrity, and anyone interested in learning more about the Medicare Outpatient Reporting and Reimbursement changes for this year. 

Summary of Presentation: The Medicare Outpatient Prospective Payment System (OPPS/APCs) final rule is published in early November each year. This presentation will include an overview of the significant changes for hospitals associated with this year’s final rule.

Some of the key changes are as follows:

  • The continued reduction in the payment rate for certain Medicare Part B drugs purchased by hospitals through the 340B program.
  • Site neutral payments for E&M services.
  • Price transparency requirements to be implemented in 2021.
  • Removal of total hip arthroplasty and other procedures from the inpatient-only list.
  • General supervision of hospital outpatient therapeutic services.
  • Prior authorization process for certain outpatient services.
  • A continuation of the increased consolidation and packaging of services paid under OPPS.

These topics and others will be provided during this timely presentation.

$59 for members
$25 for students
$99 for non-members
Click here to REGISTER

Richard R. Cooley, BA, CCS - Partner, Epoch Health Solutions, LLC
Richard has twenty years in healthcare consulting. Where does the time go???  He has developed an expertise in hospital outpatient and inpatient coding, including professional split billing, E/M coding, admission reviews, billing, reimbursement, compliance and charge master reviews. His areas of expertise include Medicare reimbursement for the Medicare Outpatient Prospective Payment System (OPPS), Medicaid Ambulatory Payment Groups (APGs), as well as professional reimbursement. Richard earned his Bachelors from Hobart College and is a Certified Coding Specialist with AHIMA.

Veronica R. Ziac, MBA - Epoch Health Solutions, LLC
Veronica has over twenty years of healthcare administration experience. Her areas of expertise include revenue cycle, information systems, population health and physician practice management. Most recently, 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.