FY2019 IPPS Final Rule Implications: Preparing Your Hospital

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FY2019 IPPS Final Rule Implications: Preparing Your Hospital 
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The IPPS Fiscal Year 2019 Final Rule addresses price transparency requirements with numerous implications for hospitals going forward, as well as changes impacting value-based and quality programs, DSH calculations, new adjustment factors for hospital-acquired conditions and hospital readmission reduction program, MS-DRG grouping and significant ICD-10 modifications, reductions of reporting measures, payment rate update factors and much more.

CMS pays acute care hospitals for inpatient stays under the IPPS. Under this payment system, CMS sets base payment rates prospectively for inpatient stays based on the patient’s diagnosis and severity of illness. Subject to certain adjustments, a hospital receives a single payment for the case based on Medicare Severity Diagnosis-Related Groups (MS-DRGs) – which are assigned at discharge.

By law, CMS is required to update payment rates for IPPS hospitals annually, and to account for changes in the prices of goods and services used by these hospitals in treating Medicare patients, as well as for other factors. This is known as the hospital “market basket.” The IPPS pays hospitals for services provided to Medicare beneficiaries using a national base payment rate, adjusted for a number of factors that affect hospitals’ costs, including the patient’s condition and the cost of hospital labor in the hospital’s geographic area.

Under current law, hospitals are required to establish and make public a list of their standard charges. In an effort to encourage price transparency by improving public accessibility of charge information, effective CY 2019 CMS updated its guidelines to specifically require hospitals to make public a list of their standard charges via the Internet in a machine readable format, and to update this information at least annually, or more often as appropriate.

This session addresses how to evaluate the impact of the fiscal year 2019 Inpatient PPS Final rule on your hospital, with respect to coding, payment calculations, reporting measures, legislative and regulatory issues and the longer range implications of price transparency.

Please join us on Tuesday November 6, 2018, at 1 PM Eastern as Valerie Rinkle presents detailed discussion and analysis of provisions and implications of the FY2019 IPPS Final Rule, in the HealthcareWebSummit event: FY2019 IPPS Final Rule Implications: Preparing Your Hospital.
Learning Objectives

After attending this webinar, attendees will be able to:

  1. Analyze the fiscal year 2019 Inpatient PPS Final rule so you can evaluate the impact and best position your hospital going forward.
  2. Consider inflation and program financial updates.
  3. Examine MS-DRG grouping, significant ICD-10 changes and impact of significant declassification of 800 codes from OR to non-OR.
  4. Ascertain changes to DSH payment calculations, value-based incentives and adjustments factors for hospital-acquired conditions and hospital readmission reduction program.
  5. Identify other Medicare legislative and regulatory issues applicable to acute care hospitals.
  6. Explore the requirements and implications involved with price transparency provisions.
  7. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Finance Executives and Staff
  • Coding managers and staff
  • Billing managers and staff
  • Revenue Cycle Executives and Staff
  • Chargemaster Coordinators
  • Auditors, APC coordinators
  • Compliance Officers
  • Revenue Integrity Professionals
  • Managed Care Executives and Staff
  • Legal and Regulatory Staff
  • Business Intelligence Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Hospitals
  • Health Systems
  • Clinically Integrated Networks
  • Central Billing Offices
  • BPO Organizations
  • Consulting Organizations
  • Government Agencies
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
  Individual Registration Fee: $195. Post-event materials, with video of slides synchronized with speaker audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event flyer.
Register Now   Click here to register or call 209.577.4888. Corporate Site licensing also available. We look forward to your attendance!
Valerie Rinkle

Valerie Rinkle
Valorize Consulting, LLC

  Valerie Rinkle is President of Valorize Consulting as well as a regulatory specialist for HCPro. She has more than 30 years’ experience in healthcare policy, finance, strategy, and revenue management operations. Her expertise spans all CMS reimbursement methodologies and the operational capabilities necessary to effectively achieve accurate and defensible payment. She has extensive hospital chargemaster, OPPS and physician fee schedule, and provider-based departments experience.

Valerie also has significant experience in leading compliance due diligence in support of M&A as well as defense strategies surrounding OIG, DOJ, RAC and other audit agencies including state Medicaid programs. She has served as an expert witness in litigation.

Valerie is a frequent public speaker including as an annual presenter on OPPS at the Institute on Medicare and Medicaid Payment Policy by the American Health Lawyers Association where she co-presents with CMS representatives.

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