Reimbursement & Regulatory Update: Outpatient Prospective Payment System Annual Final Rule — 2-Part Series

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Every year, the Centers for Medicare & Medicaid Services (CMS) proposes and finalizes new payment regulations and updates other reimbursement policies specific to the Medicare Outpatient Prospective Payment System. In addition, CMS also annually revises long-standing reimbursement policies.

Join QHR Health’s John Waltko, Vice President of Financial and Regulatory Reporting, as he discusses the financial and reimbursement implications of these regulatory changes that affect hospital reimbursements for outpatient services from the Medicare program. Learn about the Medicare Annual Proposed Outpatient Prospective Payment System rule and other reimbursement ad payment developments related to hospital outpatient services scheduled to take effect January 1, 2021.

This 2-part webinar series will cover:

  • The Medicare program’s annual Proposed Outpatient Prospective Payment System updates and other finalized policies proposed in July 2020, such as:
    • Elimination of the inpatient-only list
    • Expansion of ASC covered services
    • Physician specialty hospitals
    • Site neutral payments
    • Cost reporting developments
    • Annual rate updates
  • HHS’ current policy related to cost reporting of provider relief funds.
  • Other select reimbursement and payment changes resulting from CMS policy directives, including federal legislation, landmark court decisions, and changes in policy by CMS that affect Medicare program outpatient reimbursements.
CPE Credit Per Session

In order to be awarded the full credits, you must respond to the three polling questions asked during each program and complete the evaluation.

Participants will earn 1.0 CPE credit per session
Field of Study:             Specialized Knowledge
Prerequisites:              None
Who Should Attend:    Chief Financial Officers, Senior Management Officers, Revenue Cycle and Reimbursement Professionals
Advanced Preparation:  None
Program Level:            Basic
Delivery Method:        Group Internet Based

QHR Health Learning Institute (QLI) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:

QLI may cancel or reschedule a live webinar program at its discretion due to unforeseen circumstances. We will use reasonable efforts to notify registrants of the cancellation at least two weeks (10 business days) in advance of the original live webinar program.

If QLI cancels a live webinar program, refunds of the webinar registration fee will not be given. However, all current registrants at time of cancellation will obtain a credit to be applied to a future live webinar program of their choice.

Complaint Resolution:
For information regarding refunds, program cancellation policies and/or concerns please contact our client support team at (615) 371-7979 or

Learning Objectives

  • Understand and prepare for new payment policies and rules for outpatient services provided to Medicare patients, effective January 1, 2021.
  • Highlight pertinent litigation impacting outpatient hospital reimbursements.
  • Learn about new and or revised payments for pass-through devises and other nuances within the Medicare Outpatient Prospective Payment System.

Who Should Attend

  • Chief Financial Officers
  • Senior Management Officers
  • Revenue Cycle and Reimbursement Professionals