Health Information Management

Pay-per-view: CMS adds cost centers, inpatient-only procedures for 2014

APCs Insider, February 14, 2014

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In addition to increased packaging and collapsing of E/M clinic visit level CPT® codes in the 2014 OPPS Final Rule, CMS made additional changes that will have an immediate impact on reimbursement or require operational changes for providers.
APC payments will increase by 1.7% (market basket increase of 2.5% minus 0.5% for productivity and minus 0.3% due to Affordable Care Act provisions). That will result in conversion factors of:
  • $72.672 for hospitals that meet quality reporting requirements
  • $71.219 for hospitals failing to meet quality reporting requirements
 
Neither of these rates takes into account the 2% reduction due to the sequestration that remains in effect and could continue well into 2014, unless Congress acts.
 
 
Continue reading CMS adds cost centers, inpatient-only procedures for 2014 on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the February issue.

 



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