tci Outpatient Facility Coding Alert - 2017 Issue 12

Outpatient Reimbursement: Get up to Speed on 2018 Final Rules for OPPS and MPFS

Remember: CMS will definitely remove TKA from IPO list. CMS recently announced its final rules for both the 2018 Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS). In OPPS, you'll see the final decisions to remove total knee arthroplasty (TKA) from the inpatient-only (IPO) list and to further discuss the removal of several other procedures from the list. You'll also see a drop in the payment to hospitals for 340B drugs. MPFS also made a decision regarding Medicare payments for goods and services for non-excepted off-campus departments. Read on to learn more and always safeguard your...

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