HCPro, JustCoding Outpatient - 2018 Issue 31 (July)
Healthcare News: CMS considers site-neutral reimbursement policies in 2019 OPPS proposed rule
July 31st, 2018
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Article Overview
This news article summarizes CMS’s 2019 OPPS proposed rule and the agency’s broader site-neutral payment efforts. It covers proposed changes affecting off-campus provider-based departments, outpatient clinic visit payment methodology, new clinical family concepts, and continued policy changes for certain 340B-acquired drugs. The piece is most relevant to hospital outpatient billing, revenue cycle, and compliance professionals tracking Medicare outpatient payment updates and comment opportunities.
Why This Topic Matters
The proposed rule could change how Medicare pays for selected outpatient hospital services and drugs, especially for off-campus provider-based departments and facilities affected by 340B-related payment policies. Understanding the scope of the proposal helps readers assess operational and reimbursement impacts and identify areas where CMS is soliciting public comment.
What You Will Learn
- The general scope of CMS’s 2019 OPPS proposed rule
- How the proposal relates to site-neutral payment policy
- Which outpatient department settings are affected by the proposed changes
- How CMS is framing reimbursement changes for certain outpatient clinic services and drugs
- What types of issues CMS is asking the public to comment on
Who Should Read This
- Hospital outpatient billing staff
- Revenue cycle professionals
- Coding and compliance professionals
- Healthcare administrators
- Medicare policy analysts
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