2019 OPPS Rules and What Five Actions Healthcare Organizations Need to Take

| 12/13/2018

The final 2019 Outpatient Prospective Payment System (OPPS) rules from the Centers for Medicare and Medicaid Services (CMS) have been published. Is your team ready for the changes ahead? Familiarity with the new rules and effectively implementing them can have significant financial impacts on healthcare providers, either positively or negatively. With an estimated increase of OPPS rates of 1.25 percent for 2019, it is essential that leaders working with the new OPPS rules are up to speed on the changes and have access to those with a deep specialization in this area. 

As a result of viewing this on-demand session, you should be able to: 

  • Articulate the impact of changes to “site-neutral” payments outlined by CMS for 2019 
  • Define rule changes to the 340B program and the impact that these will have on your organization 
  • Recognize the impact of changes to the Hospital Outpatient Reporting Program 
  • Examine the more than 300 billing code changes being implemented in 2019 and explain the revenue impact of improper billing 
  • Plan a gap analysis of staffs’ understanding of the OPPS rules and how to supplement their expertise in 2018 

Adhering to and getting the most out of the new OPPS rules starts with a reviewing the changes, but it doesn’t stop there. Healthcare leaders must have a plan to implement and effectively communicate changes to staff who input data at each point in the process. Without these elements, you may be missing out on significant payments rightfully due to your organization. Join us to find out how the new rules and changes to past elements of the OPPS are expected to affect your operations in 2019. 

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