Corporate Compliance

Note: 2010 OPPS proposed rule released

Medicare Insider, July 7, 2009

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This was a busy week, but the biggest news was the somewhat early release of the OPPS proposed rule for 2010. While the rule is about the same number of pages as previous years, the substantive policy changes seem fewer than in the last couple of years.

For instance there were no new composite APCs introduced this year. Additional composite APCs, including cardiac resynchronization therapy, are being considered for future years. However, CMS indicated that in accordance with comments received in response to the previous composite APCs, they were going to study the effects of existing composites on payment and utilization before introducing additional composite APCs.

One of the more important proposals in the rule relates to physician supervision, a topic we have discussed several times. CMS discusses the recent “restatements” and “clarifications” made over the course of the last year and proposes regulatory changes in accordance with some of the comments they have received from many industry groups.

Go to the MedicareMentor Blog to read the rest of this week's note.


 



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