2019 OPPS Final Rule Analysis
January 16, 2019 11:00am MT
Learn more about this event
Attendees will be provided a thorough review and key takeaways of the most impactful and pertinent updates to the OPPS. This will include information related to new wage index criteria, payment and costing methodologies, requirements for the hospital outpatient quality reporting (OQR) program, items removed from the inpatient-only list, provider off campus site payments, updates to comprehensive and composite APCs, pharmaceutical pass-through updates, and many others.
Attendees will learn:
1. The overall Rate Increase for hospitals
2. New details of the 340B drug program
3. Reasoning behind updates to the Inpatient-Only list
4. About Updates of Expansion of Services at Off-Campus Provider-Based Departments (PBDs)
5. About Updates for the Quality Reporting program
6. Discussion of Ambulatory Surgery Center (ASC) Updates
Why is this topic important?
These regulations and payment information impacts hospitals across the US over the next year, including new, deleted, revised codes, usage of modifiers, coding and billing guidance, as well as reimbursement information to set budgets for departments within an organization.
Who would benefit from this topic?
Hospital – HIM staff, business office personnel, compliance personnel, chargemaster coordinators, department heads, revenue cycle management, data analysts, and CDI staff.
How would this benefit the individual and/or their company?
Provides highlights of detailed information from the 2019 OPPS Final Rule which is needed for organization management, department management, and individual response to job performance within specific departments.
What information or new skills will the attendee take away from this webinar?
Attendees will receive updated information related to changes in the hospital wage index, drug pricing programs, code set changes under OPPS, reasoning behind CMS program nuances, and action items for rolling out updates within their organization.
Why is the presenter the expert on this topic?
Lamon has over 20 years of experience within the hospital and physician healthcare marketplace. She has been the Vice President of Patient Financial Services at a hospital, the Coding Director and Compliance Liaison for a nationwide physician practice management organization, consulted for Optum, 3M HIS, and Craneware, Inc., and traveled to hospitals and physician practices in almost every state performing chargemaster reviews, hospital and physician coding audits, practice management reviews, compliance program implementation, fraud and abuse audit services, and software implementation and support. She continues to work in this field, currently managing 40+ outpatient and inpatient hospital coding staff within middle Georgia.
About The Author
Arthur Lamon Willis, COC, CPC, CPCO, CPC-I
Lamon Willis is the Director of Coding for Velocity Healthcare Collaborative in Macon, Georgia. There he oversees hospital inpatient and outpatient coding operations
Mr. Willis is a healthcare professional with more than 20 years of experience in hospital and physician revenue cycle, practice management, compliance, coding, billing, process improvement, client services, sales support, and strategic product and solution development. He is also the former Director of Business Development for AAPC and Healthicity.
He has worked as a VP of Patient Financial Services in a hand and foot surgery hospital in Florida as well as a manager and compliance liaison with an emergency physician practice management organization.
Mr. Willis previously provided healthcare consulting and solution services to hospitals and physician organizations through such companies as St. Anthony Consulting, Ingenix, OptumInsight, 3M Health Information Systems, and Craneware, Inc.
Lamon is a speaker at national and regional conferences for a wide variety Enterprise Solutions of healthcare industry topics for the AAPC, AHIMA, HFMA, and SAAS-based companies.
Two ways to register for this event
This event was recommended by 96.83 % of your peers.You rated this event:
- Individual access only
- 1 CEU
- Online streaming via desktop or mobile downloading for offline viewing
- Access broadcast, downloadable podcast (MP3), presentation slides, Q&A and any other event materials
- 40+ live webinars each year (including this event)
- 1 CEU per webinar (40+ annually)
- Online streaming via desktop or mobile device, or downloading for offline viewing
- Access to a growing number of on-demand events (includes over 250+ on-demand recordings)
- A library of topics to choose from: coding, billing, auditing, compliance, and practice management, covering more than 20 specialties
- For more details visits our annual subscription page