Summary
As the Centers for Medicare & Medicaid Services (CMS) eliminates the Inpatient-Only (IPO) List, preventable surgical denials are expected to rise due to upstream coding errors.
The 2026 Final Rule shifts more procedures to outpatient and ambulatory surgery center (ASC) settings, increasing the risk of site-of-service conflicts, missing laterality, and other coding misalignments that drive claims denials. This webinar explores what to expect as the IPO list ends – and how proactive procedure validation can catch issues before claims are submitted, reducing rework and protecting surgical revenue.
Objectives:
Understand how CMS initiatives, including the IPO phase-out and the Transforming Episode Accountability Model (TEAM), increase financial risk from surgical coding errors
Identify the coding issues most likely to drive surgical denials as procedures move to outpatient and ASC settings
Learn how proactive procedure validation reduces rework, payment delays, and preventable revenue loss
Featured speaker(s)
Shelly L. Jude, RHIA, RHIT, HIT
Global Clinical Services Director
IMO Health
Linda Casey
Senior Product Manger
IMO Health
