Stay ahead of Medicare Advantage’s 2025-2026 regulatory changes in this critical webcast featuring expert Tiffany Ferguson, LMSW, CMAC, ACM. Learn how new CMS rules limit MA plan denials, protect hospitals from retroactive claim reopenings, and modify Two-Midnight Rule enforcement—plus key insights on omitted SDoH mandates and heightened readmission scrutiny. Discover actionable strategies to safeguard revenue, ensure compliance, and adapt to evolving health equity priorities before the June 2025 deadline. Essential for hospitals, revenue cycle teams, and compliance professionals navigating MA’s shifting landscape.
$279.00
$279.00
Healthcare professionals are struggling to keep up with the rapid regulatory changes in Medicare Advantage (MA) for 2025 and beyond. Key concerns include understanding the IPPS proposed ruling on quality measures, managing MA plan denials related to readmissions, and navigating the implications of MA Final Rule 4208, which clarifies (but doesn’t fully resolve) the Two-Midnight Rule. With constant policy shifts—driven by both political changes and MA plan provisions—hospitals and providers face increasing administrative burdens and financial risks due to retroactive denials and unclear compliance requirements.
This webcast provides critical insights into the CY 2026 Medicare Advantage final rule, which limits MA plans from reopening previously approved inpatient admissions—offering hospitals much-needed protection against retroactive denials. Attendees will gain clarity on new beneficiary protections, proposed health equity measures (and why SDoH mandates were excluded), and CMS’s evolving focus on well-being in the FY 2026 IPPS ruling. By breaking down these complex changes, the session will help healthcare leaders adapt their strategies, reduce denial risks, and stay compliant amid shifting regulations.
With MA Final Rule 4208 taking effect June 3, 2025, and CMS adjusting its approach to SDoH and readmission scrutiny, providers must act quickly to avoid costly missteps. This webcast offers timely, actionable guidance on the latest rulings, helping organizations prepare for 2026 changes, mitigate denial risks, and align with CMS’s health equity priorities before new enforcement begins.
Utilization review, case management, revenue integrity, revenue cycle, billing, and coding, compliance
Tiffany Ferguson is CEO of Phoenix Medical Management, Inc., the care management company. Tiffany serves on the ACPA Observation Subcommittee. Tiffany is a contributor to RACmonitor, Case Management Monthly, and commentator for Finally Friday. After practicing as a hospital social worker, she went on to serve as Director of Case Management and quickly assumed responsibilities in system level leadership roles for Health and Care Management and c-level responsibility for a large employed medical group. Tiffany received her MSW at UCLA. She is a licensed social worker, ACM, and CMAC certified.
There are no continuing education credits (CEUs) for this product.
| Product SKU | |
|---|---|
| Product Categories | Webcasts |
| Specialties and Topics | Compliance, Regulatory Updates |
| Webcast Type | |
| Live Event Date | |
| Live Event Time | CT |
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