Corporate Compliance

Note: CMS announces 2012 OPPS proposed rule

Medicare Insider, July 12, 2011

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Editor’s note: Kimberly Hoy, Esq., director of Medicare and compliance for HCPro, Inc., is the author of this week’s note from the instructor.

CMS released the OPPS proposed rule almost one month earlier than we usually see it.  CMS proposes an update factor (basically a cost of living increase) of 1.5%, which includes the market basket update of 2.8% less two statutorily required downward adjustments totaling 1.3%. However, they are also proposing to make two additional adjustments related to increases to cancer hospital payments and decreases in partial hospitalization payments that must be budget neutral, which result in an additional .4% decrease.  This means that overall payments on average should increase by a slim 1.1% in 2012 for most OPPS hospitals.

Continue reading Kimberly's note on the MedicareMentor Blog.



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