Health Information Management

CMS releases 2009 OPPS final rule

APCs Insider, November 7, 2008

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New composite APCs and revised definitions for new and established patients are among the provisions of the outpatient prospective payment system (OPPS) final rule for calendar year (CY) 2009. CMS released the 2009 OPPS final rule as a display copy on October 31.


In a CMS press release, CMS Acting Administrator Kerry Weems says, “In this final rule, we are continuing to pay appropriately for care while working with health care providers as we look for ways to make sure beneficiaries who come in for treatment of one complaint don’t leave with two as a result of adverse events during their outpatient visits.”


Jugna Shah, MPH, president of Nimitt Consulting in Washington, DC, says her quick review of the final rule indicates that CMS appears to have moved forward with the majority of its proposals. This is despite concerns expressed by numerous commenters on sensitive issues, such as the creation of new imaging composite APCs and further decreases in drug reimbursement.


For more information on the CY 2009 proposed rule for the OPPS, click here.

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