Health Information Management

Tip: CMS proposes extensive APC reconfiguration in 2016 OPPS proposed

APCs Insider, September 4, 2015

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

For 2015, CMS finalized changes to reconfigure and consolidate ophthalmology and gynecology APCs. The agency is proposing to expand that to include nine new clinical families for 2016:
  • Diagnostic tests and related services
  • Endoscopy procedures
  • Gastrointestinal procedures
  • Imaging services (specifically diagnostic radiology and nuclear medicine)
  • Incision and drainage and excision/biopsy procedures
  • Orthopedic procedures
  • Skin-related procedure (combining debridement and destruction with skin procedure APCs)
  • Urology and related procedures
  • Vascular procedures
Providers should anticipate continued changes as CMS continues to move through clinical families.
 
This tip is adapted from “CMS proposes massive APC reconfiguration, updates 2-midnight rule" in the September issue of Briefings on APCs.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular