$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.
Listen to a short Podcast discussing this course:
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
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Federal Register Title
This benchmark will help determine your readiness for: Federal Register Document titled Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction. Document Number: 2026-04797
Buy this Course
FR-26-1798-1
Why This Course is Important
Without this course, you risk missed reimbursement opportunities, non-compliance penalties, and operational setbacks as new Medicare regulations take effect in 2028.
Course Details
This is a self-paced eLearning course based on the Federal Register Document titled Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction.
Key regulatory references include:
Course SKU
FR-26-1798-1
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