tci Outpatient Facility Coding Alert - 2017 Issue 7

Regulatory Update: OIG Takes Aim at HOPD Reimbursement Policy

HOPD/ASC reimbursement disparity, 2-midnight policy make the list of ‘Top 25 Unimplemented Recommendations.’ On May 17, the OIG released its latest Compendium of Unimplemented Recommendations, which lists the top actions that the OIG believes HHS should have taken to save money and improve quality. On the list are two hotspots for hospital outpatient departments (HOPDs) that the watchdog has mentioned in previous audits and evaluations. In the document, the OIG reiterates its belief that reimbursement for similar procedures should be comparable for HOPDs and ambulatory surgery centers (ASCs). Background: When it comes to actual surgeries, there’s...

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