HCPro, JustCoding Outpatient - 2021 Issue 46 (November)
Healthcare News: CMS releases the 2022 MPFS and OPPS final rules
November 16th, 2021
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Article Overview
This news article reviews CMS’s 2022 final rules for the Medicare Physician Fee Schedule and OPPS. It covers broad updates affecting physician and hospital billing, including split/shared visit guidance, telehealth code extension and expansion, price transparency penalties, inpatient-only list changes, and several other payment and reporting topics. The piece is aimed at coders, compliance staff, revenue cycle professionals, and healthcare organizations that need to understand upcoming regulatory changes at a high level.
Why This Topic Matters
The final rules can affect how providers report services, how hospitals respond to compliance requirements, and how organizations prepare for operational and reimbursement changes tied to CMS policy updates.
Article Sections
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2022 MPFS final rule
Overview of the physician fee schedule rule and the main policy areas addressed in the article. The section frames changes affecting physician billing, telehealth, and related service reporting.
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Split/shared visits
Discussion of CMS’s revisions to split/shared visit policy and related timing of implementation. The section also addresses the broader setting and encounter types affected by the changes.
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Telehealth coding
Summary of telehealth-related code updates and extension timing under the final rule. This section covers the category-based telehealth framework and related additions to the code set landscape.
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2022 OPPS final rule
Overview of the outpatient prospective payment system rule and the major hospital-focused policy areas described in the article. The section introduces pricing, facility, and reporting updates.
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Price transparency
Discussion of the hospital price transparency penalty structure and how CMS is adjusting enforcement under the final rule. The section focuses on compliance-related policy changes.
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IPO list
Coverage of CMS’s actions related to the inpatient-only list and broader outpatient payment policy adjustments. The section notes additional rule areas mentioned near the end of the article.
What You Will Learn
- What CMS changed in the 2022 physician fee schedule and outpatient payment final rules
- Which broad service areas were affected by the final rule updates
- How the article frames telehealth, split/shared visit, and hospital compliance topics
- What categories of Medicare policy updates are highlighted for 2022 implementation
Who Should Read This
- Medical coders
- Compliance professionals
- Revenue cycle staff
- Hospital administrators
- Physician practice managers
- Healthcare policy readers
Codes Discussed
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