Hospital Outpatient Prospective Payment System APC 2016 Update

After the presentation, the participants will better understand the significant changes associated with the 2016 Medicare Outpatient Prospective Payment System (OPPS) final rule published in early November, 2015. Participants will be able to incorporate the information into plans for their hospitals as indicated by the changes.

View webinar

Original presentation date

December 17, 2015

Viewing the recording does not constitute eligibility to receive a CE. Only attendees of the live event are eligible to receive a CE Certificate.

Learning objectives

By the end of this webinar participants will be able to:

  • A summary of the major changes impacting coding and billing of hospital outpatient services
  • Descriptions of the bundling of services and expansion of packaged items and services
  • A review of the impact of these changes on hospital outpatient ER and clinic visit reporting
  • An introduction to new rules and associated new codes including pertinent background information
  • A review of revised and modified billing rules and associated codes
    • A discussion of their impact on coding and related coding and documentation issues
  • A discussion of changes to conversion factor and payment implications
  • An overview of other changes of major interest


Richard R. Cooley, BA, CCS
Richard R. Cooley has more than 15 years in healthcare consulting. He has developed an expertise in hospital outpatient and inpatient coding, including professional split billing and E/M coding, admission criteria, reimbursement and compliance, and charge master reviews. His area of expertise include Medicare reimbursement for the Medicare Outpatient Prospective Payment System (OPPS), Medicaid Ambulatory Payment Groups (APG), as well as commercial payers and professional reimbursement. He is a certified coder with AHIMA (CCS). Richard earned his Bachelors degree from Hobart College.

View webinar