Presented by Jean Russell, Veronica Ziac and Richard Cooley of Epoch Health Solutions, LLC.

Important Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) changes have been proposed for 2024 impacting hospital and professional outpatient billing and coding.  These include proposed changes to:

• Professional E/M coding guidelines
• Telehealth
• Price transparency requirements
• Services requiring prior authorization
• 340B payments
• Site neutrality updates

Additionally, there will be the usual updates to the market basket and conversion factors, the inpatient-only list, comprehensive APCs, and transitional pass-through payments.

This presentation will summarize these 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 affect operational changes
• Share when these changes will be implemented
• Identify what the changes will mean for hospitals