Revenue Cycle

HIM Briefings, September 2016

HIM Briefings, September 1, 2016

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to HIM Briefings.

CMS is looking to implement the Section 603 provisions of the Bipartisan Budget Act of 2015 regarding off-campus, provider-based departments (PBD) by January 1, 2017, according to the 2017 OPPS proposed rule (https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-16098.pdf). The agency is proposing to pay the nonfacility or office Medicare Physician Fee Schedule (MPFS) amount to the performing/supervising physician and preclude hospitals from billing on a UB-04 form or receiving OPPS payment for services performed at these locations for 2017, but plans to explore other options for 2018 and beyond.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to HIM Briefings.

Most Popular