Health Information Management

CMS releases 2010 OPPS proposed rule

HIM-HIPAA Insider, July 14, 2009

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Outpatient facilities and pharmacies hoping to see an increase in reimbursement for separately payable drugs in CMS’ 2010 OPPS proposed rule didn’t get their wish, but they did see additional proposed guidance on physician supervision rules.

CMS also proposes to allow hospitals to bill Medicare for pulmonary and intensive cardiac rehabilitation services.

"My sense when I first looked at the proposed rule this year was that it seemed much shorter," says Jugna Shah, MPH, president of Nimitt Consulting in Washington, DC. One reason for that, Shah says, might be because CMS chose not to add any additional composite APCs or additional outpatient quality indicators.

That doesn’t mean CMS is abandoning its commitment to "value-based" purchasing principles, Shah says, but it does seem like CMS is taking some time to assess the effect of its current composite APCs before adding additional ones.

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