2017 Hospital Outpatient Prospective Payment System (OPPS) Highlights

As you know, the OPPS recently published the 2017 Final Rule. Within the lengthy document, you’ll find that there have been multiple changes made to payment systems and payment models such as:

  • Comprehensive Ambulatory Payment Classifications (C-APCs)
  • Chronic Care Management (CCM) Services
  • Outpatient Laboratory Tests

And, there are many interim rules, regulations, and reimbursement determinations yet to be made.

Compliance concerns have increased as a result of varying areas of change in the payment systems, use of new codes and modifiers, and places of service. Compliance officers will need to be extra diligent in their compliance efforts.

It’s more important than ever to read both the 2017 OPPS and MPFS proposed and final rules to get the full details, including tables and addenda for consideration in decision making in utilization of code sets.

Until you have a chance to dive into the full document, you can check out our two free whitepapers, "2017 Hospital Outpatient Prospective Payment System (OPPS) Highlights" and "2017 Medicare Physician Fee Schedule (MPFS) Final Rule Highlights," to find out what’s changed in a number of areas.

Questions or Comments?