You have limited time for your facility to operationalize new regulations from CMS. Failure to comply leads to risk issues associated with compliance, revenue, and patient dissatisfaction. This session prepares you for these new regulations.

Each year hospital personnel wait throughout summer with bated breath for the Centers for Medicare & Medicaid Services (CMS) to release the Inpatient Prospective Payment System (IPPS) Final Rule and the Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) proposed rules – and this year is no different.

The 2021 rules bring added anticipation to see if CMS makes permanent any of the regulatory changes that were used during the COVID-19 pandemic.

No, Dr. Hirsch will not go through the changes to the CC and MCC designations or the edits to code sets in this RACmonitor webcast. But, he will read through the thousands of pages and pull the most pertinent information that care management and utilization review absolutely need to know in order to remain compliant and optimize your organization's operations.

Learning Objectives:-

• Benefit from a review of 2021 IPPS Final Rule changes
• Learn about 2021 OPPS and MPFS proposed rules
• Be able to formulate operational changes needed to comply with rule changes
• Be prepared to anticipate future regulatory changes that can affect today's workflow

Why Should You Attend:-

The IPPS and OPPS rules are specifically written to instruct hospitals on changes to Medicare regulations. Hospitals must adhere to any regulatory changes and process changes that are mandated in the rules. The changes also affect workflow issues such as the inpatient-only list, and the approval of new technologies. The physician fee schedule changes have a more important role as more health systems acquire physician practices and become responsible for their compliance with regulations.

Who Should Attend:-

Case managers and case management professionals; utilization review professional, registered nurses, physicians, physician advisors, revenue integrity professionals, chief medical officers, and compliance, and legal professionals.