Reimbursement and Payment Methodologies

Hospitals could be facing lower reimbursement for non-drug items and services, 340B drugs, excepted off-campus provider-based department (PBD) services, as well as additional price transparency and prior authorization requirements, according to CMS’ 2027 Outpatient Prospective Payment System (OPPS) proposed rule.

The Medicare Payment Advisory Commission (MEDPAC) recently released its annual June report to Congress, highlighting issues across the Medicare program that affect payment policies and care delivery.

Set revenue integrity in motion.

Understand the implications of the 2027 IPPS proposed rule.

Learn how the elimination of the inpatient-only list could affect hospitals.

Brush up on the latest coding and billing guidance for HCPCS Level II codes.

Understand how recent changes to skin substitute payments affect processes.

Gain expert insights into how to successfully navigate the complexities of payers' rules for challenging patient discharges.