2009 OPPS Final Rule: Analyze the Impact and Manage the Changes
Product Description:
AUDIO CONFERENCE
Sponsored by Briefings on APCs
presented on December 10, 2008The final OPPS final rule takes effect on January 1, 2009. Be ready for the operational and financial impact on your organization!
The OPPS final rule has been published, and in it, CMS finalized sweeping changes for the payment of multiple imaging/radiology services through five new Composite APCs, and the further reduction in payment for all separately payable drugs. In addition, CMS finalized changes to the structure and APC payments for type B ED visits, packaging, the inpatient-only list, and much more. The final rule also includes clarifying information on "incident-to" and the hospital outpatient quality reporting program. The impact of the final rule could result in higher or lower reimbursement rates for providers depending on their mix of services and current charging practices.
Listen to this important 120-minute audio conference and find out what you need to do to prepare for the OPPS final rule and how to address its implications for your facility. Our expert speakers show you what you need to do to educate your staff and still have a free hand to juggle your daily routine. You'll learn what issues you need to address in the short time between now and implementation day, January 1, 2009. You may download a copy of the final rule from the CMS Web site by clicking this link.
For the past six years, thousands of your colleagues have relied on the HCPro OPPS final rule program to prepare their staff. Here's what listeners are saying about last year's program:
At the end of this audio conference, your staff will be able to:
- Explain the new imaging composite APCs
- Describe the payment impact related to the hospital quality initiative
- Discuss the latest information from CMS about expected cost reporting changes
- Identify the latest reimbursement changes for drug admin, drugs, and E/M visits
Our Agenda
This will be an aggressive program with a full agenda. Among the topics we will cover are::
- The key HCPCS/CPT code changes (additions, deletions, replacements)
- New APCs, deleted APCs, and changes to existing APCs, as well as the expansion of composite APCs
- The expected financial impact based on the payment rates proposed by CMS for 2009
- Discussion of the five new composite APCs for multiple imaging services
- Reduction in separately payable drug APC payments
- The continuing expansion of packaged services and the financial impact on hospitals
- Final changes related to the inpatient-only list, drug administration APCs (chemotherapy and non-chemotherapy infusion and injection services), pass-through device and drug lists, and more
- New cost reporting requirements and charge practice implications
- New APCs for Type B emergency departments
- Changes in the outlier payment formula
- Other significant changes finalized by CMS for 2009
- Discussion on incident-to coverage for hospitals
- Tips on what you can do now to prepare your hospital for January 1, 2009
A question and answer session follows the presentation.
WHO SHOULD LISTEN?
Success under the 2009 rule will involve contributions from all departments, including HIM directors and managers, coding managers and outpatient coding staff, APC coordinators, finance managers and staff, revenue cycle managers and staff, compliance officers, chargemaster coordinators, patient accounts, and clinical staff. Learn how to prioritize the OPPS final rule with a multidisciplinary approach and create an action plan that balances both the operational and financial affects on your organization.
MEET THE SPEAKERS
Jugna Shah, MPH, is president of Nimitt Consulting in Washington, DC. She is contributing writer to Briefings on APCs and a frequent audio conference speaker. She has extensive experience helping providers understand and address the clinical and financial implications of APCs, facilitating APC task force meetings, strategic planning sessions, financial impact analyses discussions, and managing APC implementation and assessment projects.
Valerie A. Rinkle, MPA, is a revenue cycle director for Asante Health System in Medford, OR. She has 20 years healthcare reimbursement experience including 11 years in nationwide consulting to hospitals and physicians regarding Medicare and Medicaid payment systems and compliance. She is a member of the editorial advisory board from APC Answer Letter and the APC Weekly Monitor, both from HCPro.
CONTINUING EDUCATION
This program has prior approval of the American Academy of Professional Coders for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor. Credits expire on 11/30/2009.
PROGRAM MATERIALS
Program materials are provided with PDF links.
AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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