Compliance tips for the 2022 OPPS final rule

Why This Topic Matters

Hospitals and health systems need to understand which 2022 OPPS changes affect documentation, billing workflows, internal audit planning, and staff education. The article highlights areas where policy updates may create compliance risk, operational disruption, or future enforcement exposure.

Article Sections

1. Price transparency

   Discusses hospital price transparency as a continuing compliance focus under CMS policy updates. Covers broad enforcement, organizational readiness, and operational considerations for transparency efforts.

2. IPO changes halted

   Summarizes the reversal of earlier inpatient-only list changes and the resulting compliance and workflow implications. Addresses the need for continued review of documentation, medical necessity, and internal education.

3. New payment model for radiation oncology

   Reviews the delayed Radiation Oncology Model and its general payment structure and implementation timing. Also addresses hospital preparedness and monitoring of billing-related updates.

4. Looking ahead

   Provides a high-level wrap-up on updating coding, billing, documentation, and training resources. Emphasizes ongoing monitoring of compliance developments and future rulemaking.