Speakers

1.25 CEU

TBD

Mon, May 4 at 02:45 PM CDT (07:45 PM UTC)

80 MIN

4E | 2026 Outpatient Facility Coding: Navigating OPPS Final Rule Updates, Compliance, and Technology Integration

This session guides attendees through the pivotal changes introduced in the 2026 OPPS final rule, highlighting how these updates directly impact outpatient facility coding, reimbursement, and compliance strategies. We’ll dive into the phase-out of the Inpatient-Only (IPO) list — particularly the removal of 285 musculoskeletal procedures in 2026 — and CMS’ exemption of these services from certain medical review policies, including the two-midnight rule. Additionally, the session will cover the accelerated 340B payment offset: an increase from a 0.5 percent to a 2 percent reduction in the OPPS conversion factor for non-drug items and services, excluding hospitals that enrolled in Medicare after January 1, 2018. We’ll also examine the un-packaging of skin substitutes from procedural services into separate APC billing categories and additional policy shifts (such as payment rate updates, quality reporting changes, and pricing transparency expectations) that shape the outpatient coding landscape.

Outpatient Facility

1.25 CEU

Grapevine D

Tue, May 5 at 02:45 PM CDT (07:45 PM UTC)

75 MIN

6G | Beyond the Algorithm: Redefining Human Power in Coding and Revenue Cycle

The AI revolution isn’t coming — it’s here. Automated coding engines, robotic claim reviews, and predictive analytics are rewriting the rules of revenue cycle management. Technology may process data, but it can’t own judgment, ethics, or strategy. Humans aren’t becoming obsolete; we’re becoming the critical architects of how AI serves healthcare. This session challenges the doom-and-gloom narrative by proving that human intelligence is the competitive advantage. Attendees will learn how to turn AI disruption into dominance by mastering high-value skills like interpretive coding, compliance-driven oversight, and revenue protection strategies that no machine can replicate. We’ll dive into future-forward tactics to elevate human roles — transforming coders and revenue cycle leaders into decision-makers, strategists, and innovators who harness AI rather than fear it.

Billing

1.25 CEU

TBD

Tue, May 5 at 02:45 PM CDT (07:45 PM UTC)

80 MIN

6G | Beyond the Algorithm: Redefining Human Power in Coding and Revenue Cycle

The AI revolution isn’t coming — it’s here. Automated coding engines, robotic claim reviews, and predictive analytics are rewriting the rules of revenue cycle management. Technology may process data, but it can’t own judgment, ethics, or strategy. Humans aren’t becoming obsolete; we’re becoming the critical architects of how AI serves healthcare. This session challenges the doom-and-gloom narrative by proving that human intelligence is the competitive advantage. Attendees will learn how to turn AI disruption into dominance by mastering high-value skills like interpretive coding, compliance-driven oversight, and revenue protection strategies that no machine can replicate. We’ll dive into future-forward tactics to elevate human roles — transforming coders and revenue cycle leaders into decision-makers, strategists, and innovators who harness AI rather than fear it.

Billing