CMS Proposes Policy And Payment Changes For 2014

The Centers for Medicare & Medicaid Services (CMS) proposed rule [CMS-1601-P] would update Medicare payment policies and rates for hospital outpatient department and ASC services.  The rule would also update and streamline programs that encourage high-quality care in outpatient settings consistent with policies included in the Affordable Care Act.  Some of the guidelines of the rule are:

  • CMS proposes to update the OPPS market basket by 1.8 percent for CY 2014.
  • For 2014, CMS proposes to package seven new categories of supporting items and services. For many of these services, the OPPS will continue to make a separate payment if they are reported alone on a claim.
  • CMS proposes to update the two payment rates for community mental health centers and the two payment rates for hospital-based PHPs.
  • CMS is proposing five new measures for the OQR program, affecting payment in CY 2016, with data collection beginning in CY 2014 while also proposing to remove two measures: (OP-19)/(OP-24)

The proposed payment system would reduce unnecessary procedures and remove opportunities for up-coding.

Click here to read more

Advertisements

One thought on “CMS Proposes Policy And Payment Changes For 2014

  1. Pingback: Monday Morning Recap | hmsabc

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s