Healthcare News: CMS releases CY 2020 MPFS and OPPS final rules

Why This Topic Matters

The final rules discussed here affect how services are documented, reported, and paid under Medicare, making them important for practices, hospitals, and coders who need to stay aligned with annual policy changes.

Article Sections

1. 2020 MPFS final rule

   Overview of Medicare Physician Fee Schedule updates for the year, including documentation and valuation changes tied to outpatient evaluation and management services. Also covers the timing of effective dates and the associated CMS guidance source.

2. New HCPCS codes for OUD treatment and CMM services

   Discussion of new HCPCS reporting options finalized for opioid use disorder treatment and chronic care management-related services. The section also notes the effective date for the code changes and references CMS supporting materials.

3. 2020 OPPS final rule

   Summary of outpatient prospective payment system policy updates affecting hospital payment approaches and broader reimbursement administration. Includes general information about CMS’s continued handling of 340B-related outpatient drug policy.

4. Changes in therapy supervision requirements

   Covers revisions to supervision requirements for outpatient therapeutic services in hospital settings, including the affected facility types and the effective date. The section also references CMS fact sheet support material.