Health Information Management

CMS proposes two significant changes for OPPS in 2013

HIM-HIPAA Insider, July 16, 2012

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CMS is proposing two major changes as part of the 2013 Outpatient Prospective Payment System (OPPS) proposed rule, released July 6. One has to do with how CMS proposes to calculate APC relative weights and the other with the reimbursement level for separately payable drugs and biologicals without pass-through status.

The 2013 proposed rule is approximately half the size of the 2012 proposed rule and does not contain as many changes. However, the proposed suggestions are significant because they represent a major difference in how CMS has been making payments, says Jugna Shah, MPH, president of Nimitt Consulting in Washington, DC.

Editor’s note: Click here to read more on the HCPro website.



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