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Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Experienced Professional
Early Careerist

Recommended for:

Physician Practice
Revenue Cycle

Delivery Method:

Self Study

Advance Preparation:




Course Availability:

18 Months

News | Medicare Payment and Reimbursement
Medicare plans to add pandemic-era waivers to its value-based payment models as a way to incentivize provider participation.
News | Medicare Payment and Reimbursement
Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.
News | Medicare Payment and Reimbursement
Medicare physician payment changes for evaluation and management could have dire financial repercussions for some practices, providers warn.
News | Medicare Payment and Reimbursement
Hospitals will get some flexibility in the repayment of Medicare advance payment loans and a delay in uncompensated-care payment cuts under a new federal funding law.
Blog | Medicare Payment and Reimbursement
Recently passed legislation relaxes terms of the Medicare Advanced and Accelerated Payment Program loans for hospitals and and other providers.
Course | Intermediate | Medicare Payment and Reimbursement

The Outpatient Prospective Payment System

Course | Intermediate | Medicare Payment and Reimbursement

The Outpatient Prospective Payment System


This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective payment system. The course can be used as a basis for understanding compliance issues relating to the OPPS.

Estimated course completion time: 30 minutes
After this program, you'll be able to..
  • Recognize the history of the Medicare outpatient prospective payment system
  • Identify how payment is made under the Medicare outpatient prospective payment system
  • Identify what services are not paid under the Medicare outpatient prospective payment system
  • Recognize the statutory history of ambulatory payment classifications
  • Recognize reimbursement is determined using ambulatory payment classifications
  • Define pass-through payments

Related Courses | Medicare Payment and Reimbursement

On Demand Webinar | Overview | Coding

Are you ready for the 2021 CPT E/M Office Visit changes?

New E/M office visit codes go into effect January 1, 2021. These codes cover a large percentage of the healthcare delivered today.  Because these codes haven't had substantial changes since 1992, the impact of this rule is likely to be far reaching. There are implications for hospitals, health systems and health plans, in addition to physicians and practice plans. This webinar will provide an overview of the upcoming changes, and what you need to know to begin preparing your organization for a successful transition.

Original Live Webinar Date: 10/7/20

On Demand Webinar | Update | Legal and Regulatory Compliance

2021 Proposed Rule changes to OPPS and ASC Payment System

Prepare your organization now for the proposed CY21 changes to the ambulatory surgery center (ASC) payment system and the hospital outpatient payment system (OPPS) CY21. Find out what changes are proposed for implementation on January 1, 2021, for ASCs and hospital leaders will not want to keep a close watch on ASC and OPPS developments as more services migrate from one setting to another.

Topics include proposed 2021 changes to:

  • APC groupings
  • OPPS changes to drugs, biological, and radiopharmaceuticals
  • OPPS for packaging
  • Inpatient Only List
  • ASCs
  • Hospital outpatient and ASC quality requirements
  • Additional changes to other policy areas

Original Live Webinar Date: 9/10/20

On Demand Webinar | Overview | Coronavirus

Patient care in crisis: How to launch, code and bill telehealth services (Spring 2020 Virtual Conference On-demand)

Due to the coronavirus/COVID-19 crisis, physicians and health leaders are under tremendous pressure to meet the demands of patient care while stabilizing operational and financial health. This session will showcase a telehealth demonstration and discuss how providers can implement telehealth quickly and efficiently.

Original live session date: 4/9/2020

Course | Advanced | Payment Trends

Healthcare Finance: The Big Picture

Next to national defense, the healthcare industry in the United States is one of the largest sectors of the economy. Currently making up almost 20 percent of the nation's gross domestic product, health care in the U.S. will be a significant factor in the national economy for the foreseeable future.

Estimated course completion time: 1 hour and 30 minutes