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2026 Outpatient Prospective Payment System (OPPS) Final Rule Analysis

Presenter Kate Gilman, CPC, CPCO
Broadcast Date 1/14/2026
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
2026 Outpatient Prospective Payment System (OPPS) Final Rule Analysis Webinar

Learn more about this event

This presentation will highlight the key provisions of the 2026 OPPS Final Rule, focusing on changes that impact hospital outpatient reimbursement. Attendees will gain insight into payment updates for existing services, newly added services, and services removed from the OPPS.

The session will also address critical compliance considerations, helping decision-makers understand and apply new CMS regulatory guidance for Medicare-approved outpatient services. Financial implications of the rule will be discussed, including payment rate changes and their impact on specific hospital departments, with an overview of areas where hospitals may see gains or reductions in reimbursement.

In addition, the webinar will cover delayed or revised policy decisions, providing the most current information available on updates that affect operational planning and implementation.

Participants will gain:

• Updated knowledge of 2026 hospital outpatient reimbursement under OPPS
• Compliance guidance to support accurate documentation and effective audit responses
• Key regulatory updates affecting billing, reporting, and reimbursement under OPPS
• Insight into data and EHR considerations necessary to support compliant workflows and system updates

Why is this topic important?

Multiple areas of hospital revenue cycle, health information management, finance, clinical documentation improvement (CDI), and patient financial services rely upon correct and timely information related to CMS changes in the OPPS.

Who would benefit from this topic?

• Revenue Integrity Directors/Managers
• HIM Directors/Managers
• PFS Directors/Managers
• Compliance Personnel
• CDI Personnel
• Denial Managers

Kate Gilman, CPC, CPCO

About The Author

Kate Gilman, CPC, CPCO

Kate has over two decades of revenue cycle management experience in the healthcare industry. She is an expert at uncovering and correcting all billing inefficiencies and errors, while streamlining operations to achieve maximum results. Kate’s successes include small and large practices, ranging from primary care to specialists and surgeons. She is known for keeping accounts receivables as low as possible, while ensuring collections are optimized. Kate’s acute attention to detail, deep understanding of coding and billing, and proactive approach, make her an indispensable asset with all her clients.

Two ways to register for this event

Two ways to register for this event
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