CMS released the calendar year (CY) 2027 Outpatient Prospective Payment System (OPPS) final rule, outlining updates to Medicare reimbursement rates and policies for hospital outpatient services in the coming year.
This week’s Medicare updates include the 2027 ESRD PPS final rule, a final decision memo regarding coverage of autologous stem cell transplantation, and more!
Outpatient clinical documentation improvement plays a critical role in establishing medical necessity, supporting accurate coding and reimbursement, and reducing claim denials.
HIM departments are increasingly being drawn into revenue recovery decisions while also being asked to help ensure coding and documentation workflows remain accurate, traceable, and defensible.
CMS published the October 2026 update to the Outpatient Prospective Payment System (OPPS), which includes changes to codes, status indicators, and payment rates.
