New Provider-Based/HOPD Requirements: How to Prepare
July 16 @ 1:00 pm – 2:00 pm EDT
This webinar will provide an overview of new requirements enacted in the Consolidated Appropriations Act, 2026, affecting off-campus hospital outpatient departments (HOPDs), also known as provider-based departments. Beginning January 1, 2028, each of these departments will be required to bill under a separate National Provider Identifier (NPI) and attest to meeting CMS’ provider-based requirements. The session will also explore anticipated CMS guidance, the potential for increased audit scrutiny, and the importance of early coordination across reimbursement, IT, and finance teams to successfully navigate this requirement.
Learning Objectives
Upon completion of this program, participants will be able to:
- Recognize the new attestation and NPI requirements and their potential operational and financial impacts.
- Describe the expected proposed regulations in the 2027 Outpatient Prospective Payment System (OPPS) rule regarding implementation of these requirements.
- Identify practical steps hospitals should take now to help prepare for compliance and avoid Medicare payment suspensions.
CPE Information
1.00 CPE Credit(s) (pending approval)
One CPE credit (pending approval) in the Specialized Knowledge field of study may be awarded upon verification of participant attendance during live broadcast.
If you have concerns or would like information regarding program cancellation policies or CPE credit, contact us at [email protected].
