Course Code: REL-RCC-0-OPPS2024
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Review the changes in the OPPS and some of the MPFS final rules.
Highlight key procedural coding and reimbursement changes.
Cover changes that could require operational adjustments.
Share when these changes will be implemented.
Identify what the changes will mean for hospitals.
Outline:
CMS CY2024 OPPS and MPFS Final Rule Summary
Rate Setting and Conversion Factor
Evaluation and Management (E/M)
Behavioral Health Services
Caregiver Training
Health-related Social Needs
QPP/MIPS
Appropriate Use Criteria
Other Health Services
Payment Rates
Intensive Outpatient Program
Partial Hospitalization Program
Mental Health
Hospital Price Transparency
Rural Emergency Hospitals
Device Pass-through
340B-acquired Drugs
Quality Reporting Programs
Subject Matter Expert: Cassandra Schenkenberg, RHIA, CCS-P, CPC, CIC, CPMA, CPCO
Cassandra has 13 years of coding application, education and auditing experience. She is a Coding Quality Analyst and ICD-10-CM Subject Matter Expert and is the owner of Starr Medical Coding and Consulting LLC. Cassandra earned an Associate of Applied Science in Health Information Technology from Gateway Technical College where she was the recipient of a Graduate Scholastic Award in Health Information Technology, A Wisconsin Health Information Management Association (WHIMA) student scholarship, and an American Health Information Management Association (AHIMA) Foundation Merit Scholarship. She subsequently earned a Bachelor of Science in Health Sciences in Health Information Management from the University of Cincinnati.
Reviewer: Cate King, JM, CPCO, CCS, CCS-P, CHTS-PW, CPC, CIC, CRC, CPC-I
Catrena "Cate" is the Curriculum Designer for Revenue Cycle and Coding at Relias. She holds a Juris Master with a concentration in Healthcare Regulations from Florida State University’s College of Law, and has over twenty years of revenue cycle management, coding, and compliance experience.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.