Healthcare News: CMS releases CY 2019 MPFS and OPPS final rules

Why This Topic Matters

The final rules discussed here affect how certain outpatient services are documented and paid, especially for office visits, hospital outpatient clinic visits, and drugs acquired under the 340B pricing program. These updates matter because they can influence workflow, claim reporting, and reimbursement in multiple outpatient settings.

Article Sections

1. CY 2019 Medicare Physician Fee Schedule final rule

   Overview of the physician fee schedule update and the documentation and payment policy areas addressed in the rule. The section summarizes the broad outpatient E/M topics and the timing of implementation changes.

2. OPPS final rule

   Overview of the outpatient prospective payment system update and the site-neutral and outpatient department payment topics addressed in the rule. The section covers general payment policy changes affecting hospital outpatient settings and 340B-related reimbursement.