The Comprehensive Care for Joint Replacement (CJR) model may unfairly punish hospitals that treat more complex patients, according a study published in
Condition codes 44 and W2 both allow hospitals to recover some reimbursement for incorrect inpatient orders; however, they require different processes and, depending on the situation, may generate a slightly different payment.
With the first data reporting period beginning January 1, 2017, for CMS’ revamped Clinical Laboratory Fee Schedule, the agency has released a user guide and template to aid providers who are required to submit the data.
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.
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.
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 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.
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.
CMS did not have a choice about implementing site-neutral payment policies after Congress passed Section 603 of the Bipartisan Budget Act of 2015, but providers hope the agency will reconsider some of the provisions to operationalize the policy introduced in the 2017 OPPS proposed rule.
