Each year brings changes big and small to the Hospital Outpatient Prospective Payment System (OPPS) Final Rule, and 2020 is no exception. In some ways, 2020 may be more uncertain and challenging than usual, attributable in part to the current federal push to reduce the administrative burden for hospitals and physicians.
For this RACmonitor webcast, we've secured Dr. Ronald Hirsch, one of our most trusted and popular presenters, to help you sort it all out. Count on Dr. Hirsch to explain, with crystal clarity, the OPPS Final Rule changes that are crucial for seizing opportunity and minimizing your compliance risks in 2020.
How is the inpatient-only (IPO) list changing? What are key changes to the Ambulatory Surgical Center (ASC) Covered Procedures List (CPL)? Dr. Hirsch will address these and many other burning questions, translating each significant change into real-life impacts and explaining how your facility needs to adapt.
Why This is Relevant:
Clearly understanding the OPPS Final Rule is not optional — your hospital's revenues and regulatory compliance depend on it. Without this knowledge, you cannot appropriately adjust your status determination processes and reviews of medical necessity documentation. Other must-know details include items moved from the IPO list to the ASC list, which substantially affects utilization and finances. In addition, for the first time ever, CMS has enacted a prior authorization process, requiring the creation of a completely new utilization workflow to ensure regulatory compliance.
From this RACmonitor webcast, you and your team will…
- Find out how the inpatient-only list is changing for 2020;
- Learn about changes to the ASC-approved list and the implications for your hospital;
- Gain a clear understanding of changes to the two-midnight rule audit processes; and
- Learn about new technology add-on payment changes.
Who Should Attend:
Individuals who will gain the greatest benefit from this webcast include case management staff, utilization review staff, chief medical officers, social workers, registered nurses, compliance staff, chief nursing officers and physician advisors.