2020 OPPS Final Rule: Key Takeaways for Healthcare Organizations

The final 2020 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 by 1.3 percent for 2020, 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 participating in this session, you should be able to:

• Articulate the impact of changes to “site-neutral” payments outlined by CMS for 2020
• Recognize the impact of changes to prior authorization for certain OPD services
• Acknowledge additions to the ASC Surgical Covered Procedures List
• Identify how price transparency requirements will affect your organization
• Describe the coding changes finalized for 2020 and explain the revenue impact of improper billing

Adhering to and getting the most out of the new OPPS rules starts with 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 2020.

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