This week’s note from the instructor discusses the 2017 OPPS final rule’s provisions for implementing Section 603 of the Bipartisan Budget Act of 2015, which requires an alternate payment system for certain off-campus provider-based services.
This week’s Medicare updates include the release of the End-Stage Renal Disease Prospective Payment System final rule, an announcement of the next round of Medicare Recovery Audit Contractors, the Hospital Outpatient Prospective Payment Changes for 2017 final rule, CY 2017 Home Health Prospective Payment System, a Hospital Appeals Settlement Update, and more!
In the outpatient setting, there are different set of rules to follow in regard to the ICD-10-CM Official Guidelines for Coding and Reporting compared to those that follow the guidelines for inpatient care. The ICD-10-CM guidelines for outpatient coding are used by hospitals and providers for coding and reporting hospital-based outpatient services and provider-based office visits.
During this program, our expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, will analyze the final rule and deliver a comprehensive update on the major changes coming for 2017 under OPPS. When you understand where CMS is headed, you'll be in a position to plan your own internal education and process changes.
Advisory Board
Kimberly Anderwood Hoy Baker, JD Director of Medicare and Compliance
DISCLAIMER Advice given is general, and readers should consult professional counsel for specific legal, ethical, or clinical questions. Users of this service should consult attorneys who are familiar with federal and state health laws.
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