CMS looks to enact site-neutral payment policies for off-campus departments

September 1, 2016
Briefings on APCs

While the 2017 OPPS proposed rule includes a variety of tweaks and augmentations to existing regulations, its biggest impact is likely to come from its proposal to implement Section 603 provisions of the Bipartisan Budget Act of 2015 regarding off-campus, provider-based departments (PBD) and move toward more site-neutral payment policies.

CMS proposes aligning packaging logic

September 1, 2016
Briefings on APCs

 CMS proposes aligning its conditional packaging logic with how it applies packaging to labs, while also proposing to delete the much-maligned modifier -L1 for separately payable laboratory tests in 2017.

Forecasting financials based on CMS' latest proposals

September 1, 2016
Briefings on APCs

CMS’ proposed changes to implement Section 603 of the Bipartisan Budget Act of 2015 would reshape payments for off-campus, provider-based departments (PBD) if finalized and represent the most significant changes in the calendar year (CY) 2017 OPPS proposed rule. 

CMS proposes removing six codes from inpatient-only list, seeks TKA comments

September 1, 2016
Briefings on APCs

CMS released the 2017 OPPS proposed rule on July 5 without much fanfare. On July 14, the Federal Register version was posted, and upon initial review, it seems rather short at 186 pages. 

Tips for sending CMS comments

September 1, 2016
Briefings on APCs

CMS wants your thoughts on its 2017 OPPS proposed changes. In various places in the proposed rule, CMS specifically asks providers to comment on the proposals. You may submit comments to the agency until September 6, 2016.