2019 OPPS proposed rule: CMS seeks feedback on quality measure removals, future rulemaking

August 28th, 2018

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews CMS requests for comment in the 2019 OPPS proposed rule. It focuses on proposed outpatient quality reporting measure removals, information exchange and interoperability policy questions, hospital charge transparency issues, and a potential drug pricing model concept. The piece is aimed at hospitals, outpatient providers, compliance teams, and coding/reimbursement professionals who track Medicare policy developments and future rulemaking.

Why This Topic Matters

The rulemaking topics discussed here can affect reporting burden, operational planning, data exchange practices, transparency requirements, and potential payment-model changes for affected providers. Understanding the scope of CMS’s requests helps organizations decide whether to comment and how proposed policy changes may influence future compliance and administrative workflows.

Article Sections

  1. Quality measure removals and future removal criteria

    CMS proposals related to outpatient quality reporting measures and the agency’s approach to evaluating future removals. The section also addresses comments sought on broader measure-removal policy changes.

  2. Requests for information

    CMS requests for stakeholder input on interoperability, electronic exchange of health information, hospital charge transparency, and a potential drug pricing model. The section frames these topics as areas for possible future rulemaking.

  3. Tips for submitting comments to CMS

    General guidance on preparing written feedback for the proposed rule and considerations for submitting comments electronically or through other channels.

  4. Paper submissions

    Practical information on submitting comments by mail or hand delivery and where CMS directs commenters to send materials.

What You Will Learn

  • What CMS is seeking feedback on in the 2019 OPPS proposed rule
  • How outpatient quality reporting measure removals are being discussed
  • Which broad policy areas are included in the requests for information
  • What kinds of operational and transparency issues CMS is asking stakeholders to address
  • How commenters can submit input to CMS

Who Should Read This

  • Hospitals
  • Outpatient providers
  • Compliance departments
  • Revenue cycle and reimbursement professionals
  • Healthcare policy analysts
  • Coding and billing professionals

Codes Discussed

  • NQF: 0431
  • NQF: 0289
  • NQF: 1536
  • NQF: 0658
  • NQF: 0659
  • NQF: 0513

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