Outpatient Prospective Payments in 2019

Start time:
January 22, 2019 10:00 AM PST
1 hour
Carly Miller, Moss Adams, 949-517-9434
Cost to attend:

The Centers for Medicare & Medicaid Services (CMS) are making significant changes to the Outpatient Prospective Payment System—some of which go into effect on January 1, 2019. As CMS continues to review their policies and reimbursement for clinical services in hospital outpatient settings in the coming year, providers will be increasingly accountable for maintaining appropriate documentation of attestations for locations and modifiers on claims as well as managing constant changes in reimbursement for patient care services and 340B pharmaceuticals.

Join us for a webcast that will help you stay current on these changes. We’ll review the current landscape and discuss how providers can position themselves in 2019 to mitigate any unintended consequences of operational changes.

CLE:  Foley & Lardner LLP will apply for CLE credit after the program, wherever applicable. Foley & Lardner LLP certifies that this activity has been approved for California MCLE credits by the State Bar of California in the amount of 1.0 General credit. Foley & Lardner LLP is a State Bar of California MCLE approved provider. Please note that participants must be in attendance on the date of the event; credit may not be obtained by viewing and/or listening to a program recording after the event. Certificates of attendance will be distributed to eligible participants approximately eight weeks after the program via email. Important information for New York attorneys: This program is appropriate for experienced attorneys only.



Paul Holden, Partner, Moss Adams

Paul is a member of the firm’s Health Care Consulting practice, where he provides reimbursement, business intelligence and operational consulting services to health care providers in acute and post-acute settings throughout the West. Paul has more than 15 years of health care experience, is a member of the Moss Adams Health Care Industry Group Leadership Team and has served in board roles for the Healthcare Financial Management Association (Oregon and Washington/Alaska Chapters), arts-based schools and currently for the Legacy-Good Samaritan Hospital Foundation in Portland, Oregon. He is a frequent presenter to health care lobbying and trade groups on emerging issues and complex technical topics.

Lawrence W. Vernaglia, Partner, Foley & Lardner, LLP

Lawrence Vernaglia is a partner and health care lawyer with Foley & Lardner LLP and serves as chair of the firm’s Health Care Practice and Health Care Industry Team – named “Health Law Firm of the Year” by U.S. News - Best Lawyers® on the "Best Law Firms" list (2012 – 2014). Mr. Vernaglia represents hospitals, health systems and academic medical centers and a variety of other health care providers. Mr. Vernaglia's practice involves regulatory and transactional matters, including Medicare/Medicaid reimbursement compliance advice and appeals; mergers, acquisitions and financings; state regulatory issues including licensing, change of ownership, and CoN/DoN; survey/certification appeals; fraud & abuse/Stark law analyses; managed care contracting; and general corporate and business planning in health care. He runs strategic planning programs for senior management and governing boards.

Registration Form


CPE Information

Program Level:
Specialized Knowledge and Application: 1
Delivery Method:
Learning Objectives:

After completing this training, participants will be able to review the final CY2019 Outpatient Prospective Payment System rule issued by CMS; list the continued considerations from Section 603 of the BBA of 2015; and explain the operational challenges for outpatient care areas in 2019.


Registrants should have working knowledge understanding of and experience implementing the Outpatient Prospective Payment System (PPS) in order to implement 2019 changes for hospital Medicare reimbursement.

Target Audience:
CEOs and other C-level Executives; Controllers; Directors; Managers; Owners; Presidents/VPs; and Treasurers
Refund Policy:

For more information about administrative policies regarding CPE, refunds or complaints, please contact Carly Miller at 949-517-9434 or send her an email.

Moss Adams is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State Boards of Accountancy have the final authority on the acceptance of individual course for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.