Making a checklist to prepare for the OPPS final rule

Why This Topic Matters

The article helps facilities anticipate how the final OPPS rule may affect outpatient billing workflows, payment treatment, and internal reporting processes. It is especially relevant for organizations that need to evaluate financial exposure and prepare for implementation timelines.

Article Sections

1. Section 603

   Discusses CMS proposals and provider concerns related to off-campus, provider-based departments under Section 603, including broad operational and financial implications.

2. Packaging proposals

   Reviews proposed changes involving packaging under OPPS, including claim-level effects and related reporting issues that may affect payment processes.

3. Device-intensive procedures

   Covers proposed changes affecting device-intensive procedures, cost reporting, pass-through payment considerations, and potential expansion of comprehensive APCs.