Reimbursement & Regulatory Update: Outpatient Prospective Payment System Annual Final Rule and Other Regulatory Developments

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The CMS annually proposes, and then finalizes, new payment rules for the Medicare Outpatient Prospective Payment System. Join QHR Health’s John Waltko, Vice President of Financial and Regulatory Reporting, in this 2-hour webinar covering the Medicare program’s annual Final Outpatient Prospective Payment System update and other proposals that affect outpatient reimbursements and cost reporting issues adopted in the Final Rule for 2023.

CPE credit per session

Participants will:

  • Review new reimbursement rate increases for inpatient and outpatient services effective October 1, 2022, and/or January 1, 2023, including sub-acute care providers
  • Hear updates to hospital pricing transparency and surprise billing
  • Summarize new payments for masks and algorithm driven clinical decision support systems
  • Learn about new payment policy for 340B program drug purchases, additions to inpatient only list, additions to the ASC covered procedures list, services now requiring prior approval, expansion of Pass-through payments for drugs, biologicals and devises and other reimbursement updates within the Medicare Outpatient Prospective Payment System
  • Review expansions of Behavioral Health services from hospital settings to patients at home via telecommunication technology
  • Learn about other current regulatory developments affecting hospital outpatient reimbursements

Who Should Attend:

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



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

Participants will earn 2.0 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