Health Information Management

2008 OPPS final rule a 'radical change,' sources say

APCs Insider, February 22, 2008

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The most significant change in the CMS packaging proposal from the proposed rule to the final rule concerns separately payable observation services, says Jugna Shah, MPH, president of Nimitt Consulting in Washington, DC. CMS had proposed to package all observation services, which meant that the agency was going to eliminate the existing separately payable observation APC. Fortunately, CMS did not opt to go that route.

Instead, CMS created two new separately payable composite APCs for observation and eliminated the current diagnosis code requirements.

Click here to read more about the new composite APCs. Briefings on APCs subscribers have free access to this article in the February issue via their online subscriptions.



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