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Key deadlines

Conference starts:

2016-12-07

Website

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Conference Description

Overview:

Medicare release of the final CY 2017 OPPS rule is critical for providers to understand so they can be ready to implement all changes by January 1, 2017 while also obtaining a keen sense of where they can expect to see financial impact on their book of business. Many of the expected changes if finalized could have tremendous financial and/or operational impact on providers. The final rule is typically released around November 1st which gives providers less than 60 days to be ready for the new year's changes. Joining for this program will allow providers to be ready

Why should you Attend:

It's better to know what changes CMS has finalized so that providers are ready to implement new coding or billing requirements such as the use of new modifiers, etc. Additionally, providers will have a sense of what payment rate changes/shifts are expected for individual services (by CPT code, such as evaluation and management visits, observation, drugs, etc.) and/or for Comprehensive APCs, which are like mini-outpatient DRGs or episodes. Knowing where the largest changes are can help finance directors, hospital CFOs, coding, billing, reimbursement, and compliance staff be ready for impact on their organizations.

Areas Covered in the Session:

All major financial and/or operational changes finalized by CMS for CY 2017 OPPS
Status indicator changes
Packaging changes
Comprehensive APC (mini-DRG) changes
Payment changes for drug administration, E/M visit codes, observation, composite APCs, drugs, biologicals, radiopharmaceuticals, blood and blood products, as well as other major APC category payment rate changes
Changes related to reporting modifiers and much more!
Observation Notice Act changes if released
Section 603 related technical and operational changes for grandfathered vs. non-grandfathered provider-based off-campus locations
And much more!

Who Will Benefit:

Health Information Management
Revenue Cycle Directors
Finance
Billing Office
Charge Description Master Coordinators
Others in the hospital interested in understanding the changes CMS has finalized for CY 2017.

Speaker Profile :

Jugna Shah is a Nationally recognized expert in health care policy and financing reform and the founder of Nimitt Consulting, Inc. Since 2001, Nimitt Consulting has specialized in providing information and education on regulatory initiatives and policies that affect health care service delivery, quality, cost, accessibility, and compliance.

In the U.S., Ms. Shah works with a variety of hospitals and health systems to address the clinical, operational, and financial challenges they face under Medicare's payment systems - specifically, Medicare's Outpatient Prospective Payment System (OPPS), based on Ambulatory Payment Classifications (APCs). She helps providers address and overcome complex coding, billing, revenue cycle, and compliance issues, with a focus on medical and radiation oncology, pharmacy and drug coverage, radiology, use and refinement of E/M visit guidelines, and more. In addition to working with providers, Nimitt Consulting provides expertise on reimbursement and policy to drug and device manufacturers, trade associations, and law firms.

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