decisionhealth Newsletters, Part B News - 2016 Issue 7 (July)
CMS proposes 90-day meaningful use period for 2016, off-campus provider pay cuts
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Article Overview
This article explains a CMS proposed rule in the Outpatient Prospective Payment System that would affect Medicare provider reporting and payment policies in 2016. It is relevant to eligible professionals, hospital outpatient facilities, practice administrators, and coding/reimbursement professionals who monitor CMS rulemaking, meaningful use timelines, and off-campus provider-based payment changes. The piece discusses the scope of the proposed reporting period change and the general framework of the payment policy revisions tied to off-campus provider-based locations.
Why This Topic Matters
The proposal could change administrative reporting expectations for providers and alter how certain off-campus outpatient services are paid under Medicare. Readers need this context to track rulemaking that may affect compliance planning, operational workflow, and reimbursement strategy.
Article Sections
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Outpatient PPS proposed rule
Introduces the proposed rule and the broad policy areas covered in the article. It sets up the CMS changes discussed for reporting and outpatient payment policy.
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POS 19 pay differential in CMS crosshairs
Discusses the proposed Medicare payment changes affecting certain off-campus provider-based settings. It also summarizes the related conditions and exceptions described in the proposed rule.
What You Will Learn
- How CMS proposed to adjust the 2016 meaningful use reporting period
- Which provider groups the proposed reporting change would affect
- What broader outpatient payment policy changes CMS proposed for off-campus provider-based settings
- Which organizations and policy stakeholders are mentioned in connection with the proposal
- The general operational and reimbursement implications of the proposed rule
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Practice administrators
- Hospital outpatient department administrators
- Compliance teams
- Healthcare consultants
- Eligible professionals
- Physician group managers
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