Course Overview
Healthcare reimbursement and compliance requirements continue to evolve — and 2026 brings significant updates to the Outpatient Prospective Payment System (OPPS) and federal Price Transparency regulations. Are you prepared? This webinar explains the 2026 Hospital Outpatient Prospective Payment System Final Rule and what it means for hospitals and health systems. Expert presenters will review finalized OPPS payment updates, ambulatory surgical center rate changes, standardized reimbursement for skin substitutes, expanded hospital price transparency requirements, and permanent virtual supervision policies. The session also covers site-neutral payment reforms, sequestration, and key updates from the ESRD Final Rule. Attendees will gain a clear understanding of the major OPPS payment changes for 2026, new compliance and reporting requirements, and practical considerations for budgeting and operational planning
What You’ll Learn:
- Understanding key reimbursement changes under the 2026 OPPS final rule
- Compliance guidance for accurate documentation and effective audit response
- Know about extended hospital and payer price transparency enforcement
- Learn the developments in care for end-stage renal disease (ESRD)
- Learn new disclosure requirements and penalties for non-compliance
- Understand the changes to the 340B Drug program
- Know the actions on site neutrality
- Key regulatory updates affecting hospital/ASC billing, coding and reimbursement
Session Agenda:
- Continuing Appropriations and Extensions Act 2026
- Retroactive Extensions
- Sequestration
- Higher Medicare Out-of-Pocket Cost in 2026
– Part A Deductible and Co-insurance
– Part B
– Increase in Medicare Supplemental Rates - 2026 OPPS Final Rule
– 2026 Conversion Factor Calculation
– OPPS 340B Remedy
– R.I.P. IPO
– Medicare OPPS Drug Acquisition Costs Survey
– Site Neutral Payment Reform – Drug Administration
– Skin Substitutes
– Virtual Supervision - Price Transparency – Enforcement Delayed to April 1, 2026
- Revised Attestation Statement
- Outpatient Quality Reporting Program
- STAR Rating Methodology Changes
- Payment Changes
- ESRD Quality Incentive Program (QIP)
- 2026 Home Health Prospective Payment System Final Rule
Who Should Attend?
- Physicians
- Non-Physicians Providers
- Behavioral and Mental Health Providers
- Critical Care Providers
- Qualified Healthcare Practitioners
- Medical Billing Specialists and Managers
- Medical Coding Specialists and Managers
- ASC and Facility Billing Teams
- Medical Auditors
- Revenue Cycle Manager and Staff
- Practice Managers
- Claim Reviewers
- Health Information Managers
- CDI Professionals
- Office Managers and Administrators
- Clinical Operations Staff
- Compliance Officers
- Legal Advisors
- Healthcare Executives, Directors and Supervisors
Don’t miss this opportunity to master OPPS payment changes for 2026, new compliance and reporting requirements, and practical considerations for budgeting and operational planning.
