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Webinar: Outpatient Prospective Payment System (OPPS) Ambulatory Payment Classification (APC) Final Changes for 2019

December 4, 2018 @ 1:30 pm - 3:00 pm

The Outpatient Prospective Payment System (OPPS), in the form of Ambulatory Payment Classifications (APCs), is now being significantly changed.  The final changes for 2019 continue to involve significantly increased packaging in several forms.  Further changes for device dependent APCs along with changes generated by cost reporting changes.  Besides composite APCs, we now have comprehensive APCs.  These changes started in 2008 and continue to accelerate with particular attention relative to observation services.  Given additional changes for CPT and HCPCS, the impact of changes for APCs are revolutional as opposed to evolutional.  Consideration must also be given to how provider-based clinics are being impacted with the implementation of Section 603 of BiBA 2015.


    • At the conclusion of this session, the participants will be able to:

    • Identify many of the proposed and finalized changes to the APCs for 2019.
    • Explain how recent changes in the cost reporting process affect APC payments.
    • Discuss changes in grouping with particular attention to new CPT and Healthcare Common Procedure Coding System (HCPCS) codes.
    • Evaluate the possible impact of the proposed change in high impact areas such as observation, the emergency department, interventional radiology and associated areas.
    • Discuss anticipated future changes and directions for APCs.

Target Audience

This session is recommended for health care outpatient clinical staff, physicians, nurses, compliance personnel, billing, coding and claims personnel, patient financial management, cost and accounting personnel, cost report personnel, financial analysts and planners, managed care contract personnel, hospital chargemaster coordinators, and others interested in OPPS and APCs.

Featured Faculty

Duane Abbey, PhD, CFP, President, Abbey & Abbey Consultants

Dr. Duane Abbey is a management consultant and president of Abbey & Abbey Consultants. For over 20 years, Duane has provided health care consulting services to hospitals, physicians, and medical clinics. The focus of his consulting has been in the areas of compliance, payment and delivery systems. In addition to his consulting, Duane is an invited presenter for hospital associations, medical societies and other groups. He has also published articles and books on health care topics. The speaker has no real or perceived conflicts of interest that relate to this presentation.

Continuing Education Credits


American College of Healthcare Executives
NCHA is authorized to award 1.5 hours of pre-approved ACHE Qualified Education credit for this program toward advancement or re-certification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the ACHE for advancement or re-certification.


$199 per connection. NOTE: Other participants may sit in on the same connection. For each additional connection there is a charge of $199. Recordings are available for purchase with the purchase of one connection.


James Hayes at jhayes@ncha.org or 919-677-4246



December 4, 2018
1:30 pm - 3:00 pm
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NCHA Education Services
James Hayes, PMP
Education Project Manager

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