2020 Final Rule changes to Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Centers (ASC)
The ambulatory surgery center (ASC) payment system continues to evolve with the proposed changes to the hospital payment system (OPPS) for calendar year 2020. Fnd out what changes are proposed for implementation on January 1, 2020 for ASCs and hospital outpatient services in the CY2020 final rule. Physician practice managers will want to keep a close watch on the ASC and OPPS developments as more services migrate from one setting to another. Prepare your organization now for the proposed changes.
- Latest update on CMS' pricing transparency initiatives
- 2020 OPPS changes to drugs, biological, and radiopharmaceuticals
- 2020 340B drug rules
- 2020 changes to OPPS for cancer hospitals and partial hospitalization services
- 2020 changes to OPPS packaging
- 2020 methods to control outpatient volume increases related to clinic visits
- 2020 changes for ASCs
- 2020 changes to hospital outpatient and ASC quality requirements
- Additional changes to other policy areas such as prior authorizations and laboratory date of service rules
Medicare Compliance Concerns
This course addresses specific Medicare compliance and coding issues. It will review terms such as MS-DRG window, Two-midnight rule, Correct coding initiative (CCI), modifiers, and Medicare secondary payer (MSP).
Self-Pay Follow Up
In this course we will address patient balance billing after insurance; contract issues and limitations; and required processing differences between bad debt and financial assistance care (such as charity). Appropriate notations are included within the course to direct you to the specific requirements of Section 501(r) of the Internal Revenue Code course related to financial assistance policies, applications and other requirements for non-profit hospitals in the handling of potential and eligible financial assistance patients. This course also includes an overview of Medicare bad debt rules and their financial impact.
Proposed Changes to the Physician Self-Referral (Stark) Law to Promote Value-Based Payments