HCPro, JustCoding Outpatient - 2017 Issue 45 (November)
Healthcare News: CMS releases OPPS, QPP, and MPFS final rules
November 7th, 2017
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Article Overview
This article reviews three CMS final rules released over a short period and explains the broad policy updates affecting hospitals, physicians, and other clinicians in 2018. It covers outpatient prospective payment system changes, Quality Payment Program updates, and Medicare Physician Fee Schedule revisions, with attention to payment policy, reporting requirements, and related implementation issues. The piece is useful for providers, coders, and revenue cycle staff who need a high-level view of CMS year-ahead regulatory changes.
Why This Topic Matters
The rules discussed in the article can affect reimbursement, reporting expectations, and operational planning across multiple healthcare settings. Understanding the scope of these CMS updates helps organizations prepare for payment and quality program changes in the relevant performance year.
What You Will Learn
- What areas of Medicare policy CMS updated in the 2018 final rules
- How the article frames outpatient payment, quality reporting, and physician fee schedule changes
- Which provider groups and administrative functions are most affected by the updates
- What kinds of implementation and reporting topics are highlighted for 2018
Who Should Read This
- Hospitals
- Physicians
- Clinicians
- Medical coders
- Coding auditors
- Revenue cycle professionals
- Compliance staff
- Practice managers
Codes Discussed
Modifiers Discussed
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