Healthcare Connection

Healthcare Connection – Jan. 9, 2018

2018 OPPS Rule: Summary of Revisions

In November 2017, the Centers for Medicare & Medicaid Services finalized its Hospital Outpatient Prospective Payment System rule for calendar year 2018. The changes will affect how hospitals and other healthcare facilities are paid. In this article, read about some of the revisions.

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Webinar: Healthcare Service Providers Wrestle With Current and Potential 340B Program Changes

The 340B program was a hot topic in Washington, D.C., in 2017, with the introduction of an enhanced HRSA audit process, multiple congressional hearings, CMS changes that will affect many entities' reimbursement, and discussions about other areas that may see future changes. We will recap 2017, including the OPPS Final Rule that will force some hospitals and service providers to deal with a significant drop in Medicare Part B reimbursement and use new claims-level modifiers to identify drugs purchased through the 340B program. We will also discuss other areas that may be susceptible to future changes and provide information on how to stay abreast of program updates in 2018 and beyond. We’ll finish up the presentation by detailing monitoring procedures that may assist entities in validating compliance with program requirements and preparing them for HRSA/The Bizzell Group audits.

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Brian B. Sanderson
Managing Principal, Healthcare Services