Health Information Management

Pay-per-view: CMS finalizes comprehensive APCs with complexity adjustments for 2015

APCs Insider, January 23, 2015

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In a concerted effort to move healthcare payments to a system of "quality over quantity," CMS finalized policies that greatly expanded packaging for outpatient providers in the 2015 OPPS final rule. It also introduced complexity adjustments with comprehensive APCs (C-APCs).
 
"It's not surprising CMS moved forward with more packaging and the introduction of C-APCs, which are like mini-DRGs," says Jugna Shah, MPH, president and founder of Nimitt Consulting, based in Washington, D.C., and Spicer, Minnesota. "The agency has been telling us for years that it's wanted to make the OPPS less of a fee schedule and more of a prospective payment system, like the IPPS."
 
Continue reading “CMS finalizes comprehensive APCs with complexity adjustments for 2015” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the January issue.



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