On July 1, 2015, the Centers for Medicare & Medicaid Services (CMS) released the CY 2016 Outpatient Prospective Payment System (OPPS) Proposed Rule.
The Proposed Rule brings Medicare payment policy and rate updates, and changes the “2-Midnight Rule,” permitting Medicare Part A inpatient hospital reimbursement for certain short inpatient stays. Inpatient services are generally reimbursed at a higher rate than the same services performed in an outpatient setting.Providers who are aware of CMS’ proposed changes to the outpatient payment system can weigh in by sending official comments to staff. This is important because sometimes the proposed changes if finalized could be detrimental to provider workload, operations, and the bottom line. It’s also helpful for providers to get a preview of the direction CMS is headed in early before all changes are finalized. This information will help you, as a provider, to familiarize with the changes that might be required once the final rule is released in November.
Join expert speaker Jugna Shah, MPH in this educative session to get useful information on the major proposed changes for OPPS and APC in 2016, and its expected impact. She will also provide information on key issues to comment to the CMS on, and information on how to submit comments to the CMS.
Sec I – General Annual Proposed Updates for CY 2016
Sec II – Major CY 2016 Proposed Changes
Section III – Round-Up of Other Items From the Proposed Rule
Section IV – Summary and Q&A
Who should attend
Health Information Management, Revenue Cycle Directors, Finance, Billing Office, Charge Description Master Coordinators, others in the hospital interested in understanding the changes CMS is proposing for CY 2016.
Jugna Shah, MPH, is the president and founder of Nimitt Consulting Inc. and specializes in working with hospitals, health systems, advocacy organizations, and international governments on regulatory and health care financing issues. In the U.S., Ms. Shah works with hospitals to manage the clinical and financial operations related to OPPS/APCs.
She also raises important payment system issues to Medicare and the APC Advisory Panel to improve the APC... More Info
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