Hospital Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule 2023 Updates

Wednesday, December 21, 2022
2:00 PM ET
1 hour and 30 minutes

Important changes have been proposed for 2023 that will impact hospital and professional outpatient billing and coding. Tune in for major changes to professional evaluation and management coding guidelines, telehealth guidelines for mental health services, and much more. This presentation will summarize key changes from the OPPS and the MPFS final rules.

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.

Richard R. Cooley, BA, CCS

Epoch Health Solutions, LLC

Richard has more than twenty years in healthcare consulting. He has developed an expertise in hospital outpatient and inpatient coding, including professional split billing and E/M coding, admission criteria, reimbursement, compliance, and charge master reviews. His areas of expertise include Medicare reimbursement for the Medicare Outpatient Prospective Payment System (OPPS) and Medicaid Ambulatory Payment Groups (APGs), as well as commercial payers and professional reimbursement. He is a certified coder with AHIMA (CCS). Richard earned his bachelor’s from Hobart College.

Veronica R. Ziac, MBA

Epoch Health Solutions, LLC

Veronica has more than twenty years of healthcare administration experience. Her areas of expertise include revenue cycle, information systems, population health, and physician practice management. Most recently, she was the Director of Revenue Cycle Integrity at Cobleskill Regional Hospital. Prior to that, Veronica was the chief operating officer for a large multispecialty hospital-based physician practice based in New York. Veronica has an MBA in Healthcare Administration from Union College and a bachelor’s degree from the University at Albany. She is a member of HFMA and MGMA and has been Certified in Healthcare Compliance (CHC) by the Healthcare Compliance Association.