tci Medicare Compliance & Reimbursement - 2004 Issue 16
HOSPITALS: Don't Miss Out On Special OPPS Reimbursement
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Article Overview
This short article reviews a Centers for Medicare & Medicaid Services update to outpatient prospective payment system reimbursement. It is aimed at hospitals, outpatient billing teams, and other revenue cycle professionals who need to stay current on Medicare payment changes for newly covered drugs and technologies. The article focuses on the general scope of the update, the types of items affected, and the fact that payment amounts may change as additional cost data are collected.
Why This Topic Matters
Hospitals and outpatient departments need to track OPPS updates to understand which new drugs and technologies may receive special payment and how those changes can affect reimbursement planning.
What You Will Learn
- What the article says about a Medicare outpatient payment update
- Which broad categories of drugs and technologies are affected
- Why hospitals should monitor OPPS payment changes over time
- Where the update is sourced from within CMS guidance
Who Should Read This
- Hospital outpatient billing staff
- Revenue cycle and reimbursement teams
- Coding and charge capture professionals
- Compliance and finance staff
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