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CMS 2022 Rule Update: Keys to Case Management and Utilization Review Readiness

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Prepare your case management and utilization review teams for substantial regulatory changes in the 2022 IPPS, OPPS and MPFS rules. There's a lot to be done, and time's running short!

Price: $259.00

Product Code: AR080521

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Description Biography

The more clearly you and your team understand Medicare regulations, the better prepared you’ll be to achieve effective case management and utilization review. Case in point: In an unprecedented move, the Centers for Medicare & Medicaid Services (CMS) has proposed in the 2022 Outpatient Prospective Payment System (OPPS) Rule to put back on the inpatient-only list all the procedures the agency removed from the inpatient-only list starting this calendar year. The agency has also put a halt to its three year-plan to completely eliminate the inpatient-only list.

This radical move by CMS comes at the time when RACmonitor conducts its annual update of changes to the IPPS final rule and the OPPS and Medicare Physician Fee Schedule (MPFS) proposed rules, all of which make this crucially important webcast extraordinarily relevant.

Dr. Ronald Hirsch, presenter of this exclusive RACmonitor webcast, possesses a unique knack for getting to the bottom of things…and communicating his findings in meaningful, practical terms. With his instruction and insights, you’ll achieve two important objectives: 1) increase your hospital’s readiness for changes contained in the 2022 IPPS, OPPS and MPFS rules; and 2) avoid the arduous, time-consuming effort required to locate and understand applicable information on your own.

Each year this webcast wins rave reviews. Attendees have told us how much they appreciate the content: step-by-step guidance through new CMS guidelines; timely status updates on the surgical list; the latest on the anticipated IPO list phase-out; real-world scenarios that drive home important concepts and much more. Also receiving high marks is the manner in which essential information is delivered. One attendee summed it up this way: "Dr. Hirsch is always a great speaker. I like how he makes his presentations enjoyable, yet informative." What will be your most valuable takeaway? Register today, and prepare to be wowed!

Why This is Relevant:

For case management and utilization review teams, adhering to changes in the IPPS, OPPS and MPFS final rules is not optional. Moreover, you need to start preparing now to ensure that key elements of your operations, including policies, processes, fee schedules and approval of new technologies, will be fully compliant with the final rules. Failure to comply puts you at risk for regulatory action, revenue shortfalls and patient dissatisfaction. If risk avoidance is important to your hospital — and it should be — you can't afford to miss this annual event.

Learning Objectives:

  • Gain a clear understanding of changes contained in the 2022 IPPS Final Rule and their impacts
  • Get insights into proposed changes to the IPO list
  • Learn about the 2022 OPPS and MPFS proposed rules and potential changes
  • Be able to formulate operational changes needed to comply with regulatory changes
  • Prepare for future regulatory changes that could affect current workflows

Who Should Attend:

Case managers and case management professionals, utilization review professionals, registered nurses, physicians, physician advisors, revenue integrity professionals, chief medical officers and compliance and legal professionals.

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