tci ED Coding & Reimbursement Alert - 2016 Issue 1

OPPS Update: Expect to See More Bundling with Overall Lower Payments in 2016

OPPS conversion factor drops, but individual APC payments changes will vary. The Centers for Medicare and Medicaid Services (CMS) released the Hospital Outpatient Prospective Payment System (OPPS) Final Rule on Nov. 30, 2015, effective for dates of service on and after Jan. 1, 2016. Check out our expert summary to see what’s relevant to emergency departments and clinics. What’s The Big Picture, Will You Be Paid More Or Less In 2016? For 2016, CMS finalized a payment rate decrease of -0.3 percent.  The negative update is primarily because of a 2 percent correction resulting from...

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