New Provider-Based/HOPD Requirements: How to Prepare
July 16, 2026This 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.
Who’s This For
Hospital and health system CFOs, vice presidents and directors of reimbursement, compliance officers, and finance teams responsible for Medicare billing and regulatory compliance.
Prerequisites
None
Delivery Method
Group internet-based. Each attendee must be logged in and answer the poll questions to receive CPE credit.
Refund Policy
There is no fee associated with this event.
Program Level
Basic
Advanced Preparation
None
If you have concerns or would like information regarding program cancellation policies or CPE credit, contact us at [email protected].
Forvis Mazars, LLP 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 final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.
Presenter(s)
Jill Griffith-Goodwin