Health Information Management

Pay-per-view: Taking a three-dimensional look at CMS’ finalized OPPS policies

APCs Insider, January 9, 2015

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As CMS pushes the OPPS from a fee-for-service program toward more of a true prospective payment system, financial impact analysis of changes, departmental budgeting, and forecasting has become more complicated each year.
While CMS modified or backed off from some of its proposals for 2015, the agency is moving full steam ahead with packaging and finalized all of those proposals.
But hospitals that simply compare their 2014 payment amounts to the 2015 amounts for either their highest-volume services or the most frequently performed CPT®/HCPCS services in a department could end up being severely misled.
Continue reading Taking a three-dimensional look at CMS' finalized policies on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the December issue.

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