WHO SHOULD PARTICIPATE: CFOs, reimbursement directors, managed care directors, patient financial service managers, compliance officers, and anyone else interested in the subject matter
OVERVIEW: This webinar will update providers on the latest Medicare legislative and proposed regulatory changes under consideration by both Congress and the Centers for Medicare and Medicaid Services (CMS) for FY 2025 and beyond and provide a forum to address Medicare and managed care reimbursement and audit issues.
Session #1: 2025 Medicare Inpatient Rules; 8a.m. - 9:15 a.m.
The presenters will provide a detailed assessment of the 2025 Medicare inpatient rules, with an emphasis on the Inpatient Prospective Payment System final rule.
• Cassandra Fahey, Director/Consulting, Forvis Mazars; Speaker Bio
• Josh Steedley, Senior Manager, Forvis Mazars; Speaker Bio
Session #2: 2025 Outpatient Perspective Payment System Rule; 9:30 a.m. - 10:45 a.m.
The presenters will analyze the 2025 Outpatient Prospective Payment System rule and will update providers on the latest Medicare legislative and proposed regulatory changes under consideration by both Congress and the Administration for FY 2025 and beyond. They will also provide a forum to address Medicare reimbursement and audit issues.
• Mark Carpenter, Sr. Director of Finance & Regulatory, Third Party Reimbursement Solutions,
LLC; Speaker Bio
• Travis Justice, Director of Finance & Regulatory, Third Party Reimbursement Solutions, LLC;
Speaker Bio
Session #3: Navigating the Landscape – Trends and Challenges with Managed Care;
12p.m. - 1:15 p.m.
The presenters will cover several important managed care topics, including site of service trends and reimbursement impact; provider and payer payment disputes related to claim denials and reimbursement reductions; how to become “decision ready” using analytics in managed care contracting; and market trends in Medicare Advantage reimbursement and denials. The session will wrap up with an open discussion on emerging issues.
• Jane Jerzak, Principal, CPA, RN; PYA CPA & Tax Professionals; Speaker Bio
• Jason Hardin, Principal, CPA; PYA CPA & Tax Professionals; Speaker Bio
CONTINUING EDUCATION: Please direct any inquiries about continuing education to the LHA Education Department by emailing [email protected].
Participants will receive, upon completion of this program and evaluation, a certificate documenting the completed continuing education/clock hours.