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CMS proposes sweeping changes to E/M visits, increased packaging, and new comprehensive APCs

CMS released a number of proposed changes to the outpatient prospective payment system (OPPS) July 8. The 2014 OPPS proposed rule (available at http://tinyurl.com/oyu33jx) is shorter than normal at 718 pages, but the ­proposed changes are significant and probably the most sweeping since the inception of OPPS, says Jugna Shah, MPH, president and founder of Nimitt Consulting in Washington, D.C.

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