Pay Per View: CMS proposes five new composite APCs, reduces drug reimbursement
APCs Weekly Monitor, September 5, 2008
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CMS released the display copy of the OPPS proposed rule for fiscal year 2009 on July 3, some three to four weeks earlier than in previous years. It was officially published in the July 18 Federal Register. The early release caught many off guard, but after reviewing it, Jugna Shah, MPH believes that it doesn’t contain massive surprises. In her OPPS Advisor column, she writes that the rule contains new proposals for:
- Creating more composite APCs
- Reducing payment for separately payable drugs
- Expanding the quality initiative in the outpatient setting
- Developing new cost centers in the cost report for providers to use in the future
Many of the changes, if made final, will have a financial and operational effect on providers in 2009.
To read the complete OPPS Advisor column, click here. Briefings on APCs subscribers have free access to this article in the September issue via their online subscriptions.
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