November 2, 2017

CMS finalizes outpatient PPS, ASC payment system, quality reporting changes for 2018

By: Judy Mathias
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Editor’s Note

The Centers for Medicare & Medicaid Services (CMS) on November 1 announced it will update the hospital outpatient prospective payment system rates by 1.35%.

The final rule also removes total knee arthroplasty from the inpatient only list along with five other procedures and adds one procedure to the inpatient list.

In addition, CMS is removing six quality measures from the Hospital Outpatient Quality Reporting program in an effort to balance the value of quality data with provider burden.

Among the measures removed are:

  • OP-25: Safe Surgery Checklist Use, which assesses whether a hospital used a safe surgery checklist that covered three perioperative periods (before administering anesthesia, before skin incision, and before the patient leaves the OR).
  •  OP-26: Hospital Outpatient Volume Data on Selected Outpatient Surgical Procedures, which assesses the aggregate count of selected, higher volume, surgical procedures performed in hospital outpatient departments.

Date 2017-11-01 Title CMS Issues Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System and Quality Reporting Programs Changes for 2018 (CMS-1678-FC) Contact press@cms.hhs.gov CMS Issues Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System and Quality Reporting Programs Changes for 2018 (CMS-1678-FC) On November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule with comment period (CMS-1678-FC), which includes updates to the 2018 rates and quality provisions, and other policy changes.

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