Health Information Management

Pay-per-view: CMS proposes 2% reduction in 2016 conversion factor due to laboratory overestimation

APCs Insider, September 4, 2015

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OPPS costs rose approximately $1 billion more than expected in 2014 due to a CMS overestimation of the impact of laboratory packaging changes, according to the 2016 OPPS proposed rule. As a result, CMS proposes a 2% reduction to the 2016 conversion factor. CMS also proposes to expand laboratory packaging from date of service to the claim level.
 
Providers need to understand CMS' rationale for proposing an overall reduction to the conversion factor by 2%, says Jugna Shah, MPH, president and founder of Nimitt Consulting, based in Washington, D.C., and Spicer, Minnesota.
 
Continue reading "CMS proposes 2% reduction in 2016 conversion factor due to laboratory overestimation" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the September issue.



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