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Medicare Announced that in 2014 It Will Bundle Certain Hospital Outpatient Services

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CMS (The Centers for Medicare & Medicaid Services) 2014 proposed rules for the hospital outpatient prospective system (OPPS), which was released this week offers payment increases and “packaging” of certain outpatient services.

The proposed CMS rule would increase hospital outpatient prospective system payments by $4.37 billion or 9.5 percent. Also announced for 2014 Medicare payments made to ambulatory surgical centers (ASCs) by $133 million which is 3.51 percent over 2013 spending according to a Center for Medicare Services press release.

In a CMS effort to streamline their payment system, CMS is proposing to bundle certain services into 7 new categories. 

Additionally, CMS proposes collapsing the five active levels of outpatient visit coding into just one. CMS says that it will remove incentives that hospitals now may have to provide unnecessary medical services. 

The proposed new rule would end on December 31, 2013 the direct supervision enforcement delay for critical access hospitals and small rural hospitals. The new rule would create twenty nine separate and comprehensive ambulatory payment classifications which would replace existing device-dependent APCs.

If you would like to comment to Centers for Medicare Services you must do so by September 6, 2013. The final rules are expected by November 1, 2013 according to the agency's  press release. 

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Guest Tuesday, 21 October 2014