2027 OPPS Final Rule: Key Changes and Reimbursement Insights

The 2027 Outpatient Prospective Payment System (OPPS) Final Rule brings important payment and policy changes that hospitals need to understand as they prepare for the year ahead. This webinar will highlight key provisions of the Final Rule, with an emphasis on changes affecting hospital outpatient reimbursement, including payment updates for existing services and changes to services covered under OPPS.

We’ll examine important compliance and regulatory changes and discuss what they mean for coding, billing, documentation, and hospital operations. The session will also explore the financial implications of the Final Rule, helping attendees understand how payment changes may affect hospital outpatient departments and reimbursement in 2027.

In addition, we’ll review important policy updates and implementation considerations to help organizations identify where processes, systems, and workflows may need to change to support accurate and compliant outpatient reporting.

Participants will gain:

• Updated knowledge of 2027 hospital outpatient reimbursement under OPPS
• Insight into key payment and policy changes and their potential financial impact
• Compliance guidance to support accurate coding, billing, documentation, and audit preparedness
• An understanding of regulatory changes affecting OPPS reporting and reimbursement
• Awareness of data, system, and EHR considerations that may affect implementation and compliant workflows

Why is this topic important?

Changes to OPPS can have far-reaching effects across hospital revenue cycle, health information management (HIM), finance, clinical documentation integrity (CDI), and patient financial services. Understanding the 2027 OPPS Final Rule will help these teams prepare for reimbursement and regulatory changes, update processes and systems as needed, and support accurate, compliant outpatient billing.

Who would benefit from this topic?

• Revenue Integrity Directors/Managers
• HIM Directors/Managers
• PFS Directors/Managers
• Compliance Personnel
• CDI Personnel
• Denial Managers