Health Information Management

Pay-per-view:CMS plans major changes to payment calculations

APCs Insider, September 7, 2012

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CMS is proposing two major changes as part of the 2013 OPPS proposed rule, released July 6. One has to do with how CMS proposes to calculate APC relative weights; the other addresses 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 change to how CMS has made payments, says Jugna Shah, MPH, president of Nimitt Consulting in Washington, D.C.
 
Continue reading “CMS plans major changes to payment calculations” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the September issue.



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