HCPro, JustCoding Outpatient - 2022 Issue 30 (July)
Healthcare News: CMS releases CY 2023 OPPS proposed rule
July 26th, 2022
Subscribe or sign in to view the full article.
Article Overview
This news article reviews CMS’s CY 2023 Outpatient Prospective Payment System (OPPS) proposed rule and the main areas it addresses. It is aimed at hospital coders, billing staff, compliance teams, and other healthcare reimbursement professionals who need to understand proposed Medicare payment and coverage changes, comment timing, and policy topics such as remote services, rural emergency hospitals, and drug payment under the 340B program.
Why This Topic Matters
The proposed rule may affect hospital outpatient reimbursement, coverage requirements, and documentation or authorization processes. Readers can use it to track policy changes, assess operational impact, and prepare comments before the rule is finalized.
Article Sections
-
Payment for drugs through 340B program
Discusses CMS’s proposed approach to hospital drug and biological payment policy for covered drugs obtained through the 340B program, including the broader context of the rulemaking and public comment solicitation.
-
Remote behavioral health services
Covers proposed OPPS coverage of remote behavioral health services and the general requirements CMS is proposing for furnishing those services after the public health emergency period.
-
Prior authorization requirement for additional services
Summarizes the proposed expansion of prior authorization to an additional outpatient service category and identifies the service group addressed in the rule.
-
Payment rates and comment period
Outlines the proposed OPPS payment rate update for the year, the expected budget impact, and the public comment timeline.
What You Will Learn
- The main policy areas addressed in the CY 2023 OPPS proposed rule
- How CMS is discussing outpatient payment and coverage updates at a high level
- Which types of hospital outpatient services are affected by proposed prior authorization changes
- What the article says about comment timing and the rulemaking process
Who Should Read This
- Hospital coders
- Outpatient billing staff
- Revenue cycle teams
- Compliance professionals
- Healthcare reimbursement analysts
- Medicare policy watchers
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com