Revenue Cycle

CMS issues 2013 OPPS proposed rule

Recovery Auditor Report, July 12, 2012

CMS is proposing two major changes as part of the 2013 Outpatient Prospective Payment System (OPPS) proposed rule, released July 6. One has to do with how CMS proposes to calculate APC relative weights and the other with the reimbursement level for separately payable drugs and biologicals without pass-through status.

The 2013 proposed rule is approximately half the size of the 2012 proposed rule and does not contain as many changes. However, the proposed suggestions are significant because they represent a major difference in how CMS has been making payments, says Jugna Shah, MPH, president of Nimitt Consulting in Washington, DC.

Continue reading an HCPro analysis of the article.

View highlights of the rule from HCPro regulatory specialist Debbie Mackaman.

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