Finance & Reimbursement


Reimbursement & Regulatory Update: Outpatient Prospective Payment System Final Rule and Parts I and II of Surprise Billing – 2-Part Series

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Learn about the Medicare Annual Outpatient Prospective Payment System final rule and CMS new Surprise Billing Interim Final Rules and other reimbursement developments that will take effect on January 1, 2022.

CMS annually proposes, and then finalizes, new reimbursement rules for the Medicare Outpatient Prospective Payment System. Other reimbursement policy changes and revisions are also adopted and or implemented by CMS each year. Join QHR Health’s John Waltko, Vice President of Financial and Regulatory Reporting, as he explains and discusses the implications of these proposed changes that affect hospital reimbursements for outpatient services from the Medicare program.

This 2-part webinar series will also cover pricing transparency updates included in the annual CY 2022 Final Outpatient Prospective Payment System rule and CMS Interim Final Rules on Surprise Billing. Surprise Billing Parts I and Part II were published over the past two months and will likely result in process changes within the revenue cycle and reimbursements from non- governmental payers.

The OPPS and Surprise Billing reporting and payment policies will go into effect on January 1, 2022.

CPE Credit

Learning Objectives:

  • Review new reimbursement rate increases for inpatient and outpatient services effective October 1, 2021 and/or January 1, 2022
  • Understand proposed changes to hospital pricing transparency requirements and non-compliance penalties
  • Learn about surprise billing regulations issued in two separate interim final rules, intended to reduce all patient liabilities when receiving services from out-of-network providers
  • Review Rural Emergency Hospital (REH) implementing regulations
    • REH final implementing regulations were not included in the OPPS final rule as anticipated. A brief overview of REH Provider Designation created by Section 125 of the Consolidated Appropriations Act of 2021 will be provided.
  • Overview of revised payments for pass through devises, 340B drug payment policy, reestablishment of the inpatient only list and other nuances within the Medicare Outpatient Prospective Payment System

Who Should Attend:

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



In order to be awarded the full credit, 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