Note: CMS announces 2012 OPPS proposed rule
Medicare Weekly Update, July 12, 2011
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
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.
Want to receive articles like this one in your inbox? Subscribe to Medicare Weekly Update!
Related Products
-
Injections and Infusions: Solutions for Common Coding and Billing Questions
Hospitals continue to struggle with reporting injection and infusion services. Meeting documentation requirements and coding...
-
Modifier -59 Case Studies: Clarify Common Coding Confusion
Modifier -59 is a perennial problem area for outpatient coders. It shouldn’t be viewed as a way to guarantee payment but...
-
Cardiac Catheterization and Peripheral Revascularization
As part of the 2011 CPT update, the AMA overhauled the cardiac catheterization codes and peripheral revascularization codes...
-
Outpatient Therapy Billing Challenges: Limit the Impact of Reduced Payments
During this 90-minute audio conference, you’ll learn how to adjust your practice to limit financial impact of payment...
-
Outpatient Bed Charge Capture: Billing for Common and Complex Cases
During this 90-minute audio conference, our expert speakers walk you through common and complex cases and explain compliant...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Q/A: Coding infusions to correct low potassium levels
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- CMS has reformulated payments for some bilateral procedures
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- Searched