HCPro, JustCoding Outpatient - 2021 Issue 30 (July)
Healthcare News: CMS releases the 2022 MPFS and OPPS proposed rules
July 27th, 2021
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Article Overview
This article summarizes CMS proposed changes for the 2022 Medicare Physician Fee Schedule and Outpatient Prospective Payment System. It is relevant to coders, billers, compliance teams, and healthcare administrators tracking Medicare policy updates, telehealth changes, hospital outpatient payment issues, and the introduction of new CPT reporting categories.
Why This Topic Matters
The proposed rules signal upcoming Medicare payment and reporting changes that can affect physician practices, hospitals, and outpatient facilities. Readers can use the article to understand the scope of CMS updates and identify which areas of coding, billing, and compliance may be impacted.
Article Sections
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2022 MPFS proposed rule
Introduces the Medicare Physician Fee Schedule proposal and the general areas of physician coding and billing affected for the upcoming year.
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Expanded telehealth reimbursement
Covers proposed telehealth policy changes related to mental health services and remote visit settings.
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CPT code updates
Summarizes the addition of new CPT reporting categories included in the proposal and the general service areas they address.
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2022 OPPS proposed rule
Introduces the Outpatient Prospective Payment System proposal and its effect on hospital outpatient departments and ambulatory surgical centers.
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Price transparency
Addresses proposed civil monetary penalty updates tied to hospital price transparency compliance.
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IPO list
Discusses the proposal affecting the inpatient-only list and its status for future outpatient payment policy.
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340B drug payment policy to continue
Covers the proposed continuation of Medicare outpatient drug payment policy for 340B-acquired drugs and related facility categories.
What You Will Learn
- How CMS is proposing to update Medicare physician fee schedule policies for 2022
- What broad telehealth policy changes are included in the proposal
- What types of new CPT reporting areas are being added
- How the OPPS proposal addresses hospital outpatient payment, transparency, and drug reimbursement issues
- Which hospital and outpatient settings may be affected by the proposed CMS changes
Who Should Read This
- Medical coders
- Billers and reimbursement staff
- Compliance professionals
- Hospital revenue cycle teams
- Physician practice administrators
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