tci Outpatient Facility Coding Alert - 2017 Issue 8
Outpatient Reimbursement: Proposed OPPS Rule Removes TKA from IPO List
HOPDs brace for lower payments for 340B drugs & services provided in off-campus facilities. The 2018 Outpatient Prospective Payment System (OPPS) proposed rule is finally out, having appeared nearly a month later than it usually does every summer. News for ambulatory surgery centers is mostly good. News for hospital outpatient departments is mixed. The proposed rule: Removes total knee arthroplasty (CPT® 27447) from the inpatient-only list. Following up on a request for comments in the 2017 proposed rule, CMS proposes to remove TKA from the inpatient-only list. TKA reimbursement for outpatient facilities will be about half of what it...
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