CMS update: Hospital Open Door Forum
Health Care Auditing Strategies, December 1, 2006
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Agency covers NPI implementation, Section 1011 in nationwide conference call
Several changes are in store for your facility in 2007, according to a special Hospital Open Door Forum hosted by CMS in November. The forum was held just days after CMS released its final rules on the outpatient prospective payment systems (OPPS) and physician payment rates. The following are some of the key issues discussed for audit and compliance professionals:
OPPS Final Rule
The final rule creates five new HCPCS codes to describe hospital emergency visits provided in part-time dedicated emergency departments (DED) that are subject to the requirements of the Emergency Medical Treatment and Labor Act of 1986 (EMTALA) but do not meet the more prescriptive requirements consistent with the CPT definition of an emergency department (ED).
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