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Proposed single payment level for hospital outpatient clinic and ed visits

USA - July 15 2013 For CY 2014, CMS proposes to do away with the existing 5 levels of visit codes for hospital outpatient clinic, Type A ED, and Type B ED, and replace…

Stephanie F Johnson, Catherine G Lucas (Katy), Susan Banks, Jennifer Simmen Lewin

Proposed establishment of “comprehensive APCs”

USA - July 15 2013 CMS proposes to establish 29 new comprehensive APCs to replace the 29 existing device-dependent APCs for the most costly device-dependent services…

Stephanie F Johnson, Catherine G Lucas (Katy), Susan Banks, Jennifer Simmen Lewin

Collection of data on services furnished in off-campus provider-based departments (PBDs)

USA - July 15 2013 In response to a "growing trend toward hospital acquisition of physician offices and subsequent treatment of those locations as off-campus…

Stephanie F Johnson, Catherine G Lucas (Katy), Susan Banks, Jennifer Simmen Lewin

Proposed changes to the hospital Outpatient Quality Reporting (OQR) and Ambulatory Surgical Center Quality Reporting (ASCQR) programs

USA - July 15 2013 Hospitals and ASCs that fail to meet Hospital OQR Program and ASCQR Program reporting requirements will receive a 2.0 percentage point reduction to…

Stephanie F Johnson, Catherine G Lucas (Katy), Susan Banks, Jennifer Simmen Lewin

Value-based purchasing (VBP) program

USA - July 15 2013 CMS proposes to create an additional appeal process that would be available to hospitals that have completed the existing appeal process under 42 C.F…

Stephanie F Johnson, Catherine G Lucas (Katy), Susan Banks, Jennifer Simmen Lewin