Topic: Proposed OPPS rule digs deep into wholesale packaging
HIM Connection, July 30, 2007
Want to receive articles like this one in your inbox? Subscribe to HIM Connection!
The outpatient prospective payment system (OPPS) has seen its fair share of changes every year since its inception in 2000. But for 2008, CMS is proposing perhaps its most drastic change yet: Wholesale packaging.
CMS is "proposing to view a service, in some cases, as not just the diagnostic or treatment modality identified by one individual HCPCS code but as the totality of care provided in a hospital outpatient encounter that would be reported with two or more HCPCS codes for component services," according to the 2008 OPPS proposed rule, released Monday.
This means that many services for which hospitals currently receive separate payment--e.g., observation, many imaging supervision and interpretation services, and diagnostic radiopharmaceuticals, among others--will no longer receive separate payment in 2008, according to CMS' proposal.
Have something to say about it? Now is the time to submit your comments to CMS. You can read the proposed rule in its entirety on the CMS Web site.
Want to receive articles like this one in your inbox? Subscribe to HIM Connection!
Related Products
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Capturing all necessary codes for IUD insertion and removal can be challenging
- QA:Coding multiple initial infusions
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- HIPAA Q&A: Level of encryption needed for email
- OB services: Coding inside and outside of the package
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- What does case-mix index mean to you?
- Q&A tackles coding questions about injections and infusions
- Joint Commission Center announces handoff communication solutions
- Inside best practice: Reduce patient falls with a stoplight
- Identify modifiable risk factors to prevent patient falls
- Searched