OPPS

This week’s note is about the CY 2015 OPPS Proposed Rule. Click the link above for more information and an in-depth analysis.

This week’s note is about chemotherapy supervision rules. Click the link above for more information and an in-depth analysis.

This week’s note is about the OPPS final rule. Click the link above for more information and an in-depth analysis.

In a concerted effort to move healthcare payments to a system of "quality over quantity," CMS finalized policies that greatly expanded packaging for outpatient providers in the 2015 OPPS final rule (www.gpo.gov/fdsys/pkg/FR-2014-11-10/pdf/2014-26146.pdf). It also introduced complexity adjustments with comprehensive ambulatory payment classifications (C-APCs).

Some hospital case managers may be breathing a small sigh of relief because a provision in the 2015 OPPS proposed rule would, if finalized, put an end to a burdensome physician inpatient certification requirement for most patients.