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Implementing the 2025 OPPS and ASC Final Rule for Healthcare Providers

$199.99

This course provides critical insights into the 2025 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment updates. Explore detailed changes to payment rates, quality reporting requirements, and new health and safety standards that impact healthcare providers and facilities. Gain the expertise to efficiently implement these changes, ensuring compliance and enhancing the quality of care for patients.

In this course you will learn the following:
* Understand key regulatory changes impacting the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment system.
* Identify updated requirements for quality reporting programs, including the Hospital Inpatient Quality Reporting (IQR) Program.
* Implement new health and safety standards for obstetrical services.
* Comprehend revised prior authorization and Medicaid/CHIP continuous eligibility rules.
* Apply changes related to individuals in custody and the all-inclusive rate add-on payment for IHS and Tribal facilities.

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NOTE: Unless otherwise indicated, all course purchases are for access to the course for a period of 1-year.  At the end of the one year term, the course will be set to “inactive”. 

Why This Course is Important
Healthcare providers may miss out on crucial updates affecting payment rates, quality reporting, and patient care standards, leading to non-compliance and financial penalties.

Course Details
This is a self-paced eLearning course based on the Federal Register Document titled Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities.

Key regulatory references include:

Course SKU
FR-24-177-1