CMS’s contract year 2017 Hospital Outpatient Prospective Payment System (HOPPS) Rule contained a number of changes from the proposed rule with respect to Section 603 of the Balanced Budget Act that impacts the coding, billing and reimbursement for off-campus provider-based departments. Additionally, the 2016 Cures Act contains additional exceptions and guidance that is important for providers to understand, as this will impact future reimbursement as well as strategic decisionmaking.
Join expert speakers Jugna Shah, MPH and Valerie Rinkle, MPA in this webinar to review the latest conditions in coding and billing for off-campus provider-based departments. Get a review of the provider-based rules that impact both on- and off-campus departments of a provider. Also, gain an understanding of the coding and billing requirements for modifiers –PO and –PN that are required to be reported by all off-campus provider-based departments.
You’ll learn about the impact of the recent changes on reimbursement that affect certain off-campus provider-based departments. In this session, Jugna and Valerie will shed light on key strategic and operational issues through the use of case studies and examples.
Who should attend
This program is designed to help hospital coding & billing staff, charge description master (CDM) managers, auditors, department managers/supervisors, hospital administrators, finance directors, compliance officers, and others; as well as healthcare consultants understand the operational and financial implications for off-campus provider-based departments, including the coding and billing requirements as well as the reimbursement impact.
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...
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