---
title: A New Years’ Resolution You Can Keep…Clarity Around OPPS Impact!
description: A New Years’ Resolution You Can Keep…Clarity Around OPPS Impact!
---
[](https://thewilshiregroup.net/)
-  (310) 699-2017 [ info@thewilshiregroup.net](mailto:info@thewilshiregroup.net)
-
-
-
- Receive Updates
-  (310) 699-2017 [ info@thewilshiregroup.net](mailto:info@thewilshiregroup.net)
-
-
-
- Receive Updates
# The Wilshire Group Blog
[Home](https://thewilshiregroup.net/) | [The Wilshire Group Blog](https://info.thewilshiregroup.net/blog) | A New Years’ Resolution You Can Keep…Clarity Around OPPS Impact!
# A New Years’ Resolution You Can Keep…Clarity Around OPPS Impact!
by [April Vogel](https://info.thewilshiregroup.net/blog/author/april-vogel)
January 03, 2018 [Thought Leadership](https://info.thewilshiregroup.net/blog/tag/thought-leadership), [HIM](https://info.thewilshiregroup.net/blog/tag/him), [News Updates](https://info.thewilshiregroup.net/blog/tag/news-updates), [Regulatory Updates](https://info.thewilshiregroup.net/blog/tag/regulatory-updates), [Revenue Cycle](https://info.thewilshiregroup.net/blog/tag/revenue-cycle)
Every year we make a plan to ensure our preparedness for the Outpatient Prospective Payment Systems (OPPS) impact…unfortunately, daily operations and multiple intersecting priorities replace good intent! And each year January 1st quickly approaches, and healthcare organizations across the country struggle to update their workflows to accommodate the yearly changes. This year’s 2018 Hospital OPPS Final Rule was published November 13, 2017, leaving little time to prepare. Although changes to status indicators, APCs and CPTs are substantially less burdensome compared to previous years, it is important to understand how these changes can affect your organization’s resources and associated workflows.
Certainly, this is not a new struggle for health systems, but the opportunity to analyze and understand the impact can often fall to the bottom of the priority list. As the growing pressures of decreased reimbursement and increased resource focus on quality expand, healthcare facilities have indicated they do not have the bandwidth to allocate resources to the project analysis. Where do you start or at least get the most out of a high-level assessment of impact if you have not already done so?
Industry leading practice recommends getting a jump start on analysis when the proposed OPPS rule is published in July, allowing ample time for review and process planning. The analysis could be as simple as utilizing your internal grouper software compared to the proposed addendum B. This will provide precision on the impact for services rendered at your facility. For example, there may be drugs that will be separately payable which means potential increased medical necessity edits. The great news is it’s not too late to start now! Data is rich in healthcare systems and you can get started on this analysis with claim level data and a comprehensive understanding of the throughput of your revenue cycle. This analysis should assist you in determining the resource impact, identifying required education, outlining system changes/edits, and alerting senior leadership of potential impact to your current revenue cycle metrics.
Wilshire is encouraging you…. don’t delay and wonder what the impact will be. Feel good about a resolution that you can keep! The Wilshire Group is wishing you a Happy New Year filled with resolutions yielding much success in 2018!
[We’re here to help!](https://thewilshiregroup.net/)
### Subscribe Here!
### Archives
- [May 2015 (8)](https://info.thewilshiregroup.net/blog/archive/2015/05)
- [June 2018 (8)](https://info.thewilshiregroup.net/blog/archive/2018/06)
- [October 2018 (6)](https://info.thewilshiregroup.net/blog/archive/2018/10)
- [May 2016 (5)](https://info.thewilshiregroup.net/blog/archive/2016/05)
- [June 2016 (5)](https://info.thewilshiregroup.net/blog/archive/2016/06)
- [March 2019 (5)](https://info.thewilshiregroup.net/blog/archive/2019/03)
- [April 2019 (5)](https://info.thewilshiregroup.net/blog/archive/2019/04)
- [October 2019 (5)](https://info.thewilshiregroup.net/blog/archive/2019/10)
- [March 2020 (5)](https://info.thewilshiregroup.net/blog/archive/2020/03)
- [July 2015 (4)](https://info.thewilshiregroup.net/blog/archive/2015/07)
- [July 2018 (4)](https://info.thewilshiregroup.net/blog/archive/2018/07)
- [August 2018 (4)](https://info.thewilshiregroup.net/blog/archive/2018/08)
- [September 2018 (4)](https://info.thewilshiregroup.net/blog/archive/2018/09)
- [January 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/01)
- [February 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/02)
- [June 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/06)
- [August 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/08)
- [December 2019 (4)](https://info.thewilshiregroup.net/blog/archive/2019/12)
- [February 2015 (3)](https://info.thewilshiregroup.net/blog/archive/2015/02)
- [June 2015 (3)](https://info.thewilshiregroup.net/blog/archive/2015/06)
- [May 2019 (3)](https://info.thewilshiregroup.net/blog/archive/2019/05)
- [September 2019 (3)](https://info.thewilshiregroup.net/blog/archive/2019/09)
- [April 2020 (3)](https://info.thewilshiregroup.net/blog/archive/2020/04)
- [May 2020 (3)](https://info.thewilshiregroup.net/blog/archive/2020/05)
- [January 2015 (2)](https://info.thewilshiregroup.net/blog/archive/2015/01)
- [March 2015 (2)](https://info.thewilshiregroup.net/blog/archive/2015/03)
- [April 2015 (2)](https://info.thewilshiregroup.net/blog/archive/2015/04)
- [November 2018 (2)](https://info.thewilshiregroup.net/blog/archive/2018/11)
- [November 2019 (2)](https://info.thewilshiregroup.net/blog/archive/2019/11)
- [January 2020 (2)](https://info.thewilshiregroup.net/blog/archive/2020/01)
- [February 2020 (2)](https://info.thewilshiregroup.net/blog/archive/2020/02)
- [September 2015 (1)](https://info.thewilshiregroup.net/blog/archive/2015/09)
- [November 2015 (1)](https://info.thewilshiregroup.net/blog/archive/2015/11)
- [April 2016 (1)](https://info.thewilshiregroup.net/blog/archive/2016/04)
- [February 2017 (1)](https://info.thewilshiregroup.net/blog/archive/2017/02)
- [January 2018 (1)](https://info.thewilshiregroup.net/blog/archive/2018/01)
- [May 2018 (1)](https://info.thewilshiregroup.net/blog/archive/2018/05)
- [December 2018 (1)](https://info.thewilshiregroup.net/blog/archive/2018/12)
- [July 2019 (1)](https://info.thewilshiregroup.net/blog/archive/2019/07)
- [June 2020 (1)](https://info.thewilshiregroup.net/blog/archive/2020/06)
[See all](https://info.thewilshiregroup.net/blog/new-years-resolution-can-keepclarity-around-opps-impact#)
### Categories
- [Thought Leadership (103)](https://info.thewilshiregroup.net/blog/tag/thought-leadership)
- [Revenue Cycle (67)](https://info.thewilshiregroup.net/blog/tag/revenue-cycle)
- [Revenue Integrity (28)](https://info.thewilshiregroup.net/blog/tag/revenue-integrity)
- [Company News (26)](https://info.thewilshiregroup.net/blog/tag/company-news)
- [Patient Access Services (26)](https://info.thewilshiregroup.net/blog/tag/patient-access-services)
- [HIM (21)](https://info.thewilshiregroup.net/blog/tag/him)
- [Epic (20)](https://info.thewilshiregroup.net/blog/tag/epic)
- [CDI (17)](https://info.thewilshiregroup.net/blog/tag/cdi)
- [Clinicals (16)](https://info.thewilshiregroup.net/blog/tag/clinicals)
- [Consulting Strategy (14)](https://info.thewilshiregroup.net/blog/tag/consulting-strategy)
- [COVID-19 (10)](https://info.thewilshiregroup.net/blog/tag/covid-19)
- [Coding (9)](https://info.thewilshiregroup.net/blog/tag/coding)
- [News Updates (9)](https://info.thewilshiregroup.net/blog/tag/news-updates)
- [charge capture (8)](https://info.thewilshiregroup.net/blog/tag/charge-capture)
- [News (7)](https://info.thewilshiregroup.net/blog/tag/news)
- [Insider (6)](https://info.thewilshiregroup.net/blog/tag/insider)
- [Finance (5)](https://info.thewilshiregroup.net/blog/tag/finance)
- [ICD-10 (4)](https://info.thewilshiregroup.net/blog/tag/icd-10)
- [Words of Wisdom (4)](https://info.thewilshiregroup.net/blog/tag/words-of-wisdom)
- [Build Guides (3)](https://info.thewilshiregroup.net/blog/tag/build-guides)
- [Case Studies (3)](https://info.thewilshiregroup.net/blog/tag/case-studies)
- [Charge Router (3)](https://info.thewilshiregroup.net/blog/tag/charge-router)
- [Perioperative Services (2)](https://info.thewilshiregroup.net/blog/tag/perioperative-services)
- [vendors (2)](https://info.thewilshiregroup.net/blog/tag/vendors)
- [Accounting (1)](https://info.thewilshiregroup.net/blog/tag/accounting)
- [Audit (1)](https://info.thewilshiregroup.net/blog/tag/audit)
- [ED (1)](https://info.thewilshiregroup.net/blog/tag/ed)
- [HFMA (1)](https://info.thewilshiregroup.net/blog/tag/hfma)
- [OR (1)](https://info.thewilshiregroup.net/blog/tag/or)
- [Payment Posting (1)](https://info.thewilshiregroup.net/blog/tag/payment-posting)
- [Regulatory Updates (1)](https://info.thewilshiregroup.net/blog/tag/regulatory-updates)
- [SOX (1)](https://info.thewilshiregroup.net/blog/tag/sox)
- [Scanning (1)](https://info.thewilshiregroup.net/blog/tag/scanning)
- [emergency department (1)](https://info.thewilshiregroup.net/blog/tag/emergency-department)
[See all](https://info.thewilshiregroup.net/blog/new-years-resolution-can-keepclarity-around-opps-impact#)
[previous post](https://info.thewilshiregroup.net/blog/april-vogel-joins-the-wilshire-group-as-senior-consultant) [next post](https://info.thewilshiregroup.net/blog/redefining-revenue-integrity)
**The Wilshire Group**
2075 Vista Ave, Suite 100
Sierra Madre, CA 91024
(310) 699-2017
[info@thewilshiregroup.net](mailto:info@thewilshiregroup.net)
## OUR SERVICES
[REVENUE CYCLE](https://thewilshiregroup.net/what-we-do/revenue-cycle/)
[HEALTH INFORMATION MANAGEMENT](https://thewilshiregroup.net/what-we-do/health-information-mgmt/)
[PROJECT & CHANGE MANAGEMENT](https://thewilshiregroup.net/what-we-do/project-change-management/)
[EPIC IMPLEMENTATION & OPTIMIZATION](https://thewilshiregroup.net/epic-implementation-optimization/)
Receive Updates
### THOUGHT LEADERSHIP
©2016 The Wilshire Group. All rights reserved.
### Receive Updates